HomeMy WebLinkAboutPercolation Test Log r "• PERCOLATION TEST LOG Time: AP�. ._.
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Date: cr-/8 . 1)
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Map/Lot No. Address: /1/r7 /<en cc f- s Engineer: S ) P e
g �, ]tee r' Health Agent: �. CA ate; rue,._.__
i Expansion Area: Yes: No: Suitable/Subsurface Sewage: Yes: No:
Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches:
If No, Why? Unsuitable: Why?
Well: Town'Water: Subdivision/Owner's Name:
SKETCH:
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'11PGI •
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Notes: Water At:NON Ft.
• DEEP OBSERVATION HOLE LOG
Depth fromSurface Soil Horizon Soil Texture Soil Color Soil Motting Other
(inches) (USDA)
altueture,S mak Boulders.
Consistency,%Orwell
/ 5
3 (, gar •
C.. n\ S c._ . C/ 't •
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• i DEEP OBSERVATION HOLE LOG
Depth fromSurface Soil Horizon . Soil Texture Soil Color , Soil Motting Other
(inches) . (USDA) (Structure,Stones.Boulder,,
Consistency,%Gravel)
Perms
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II- lvn;, �
.4%) Pc`'fL
DOUBLE WASHED STONE
FREE OF FINES & SILT
NOT TO SCALE
USG.; PROBABLE WATER TABLE ELEV = _
OBSERVED WA-ER TABLE ( / / ) ELEV = _
17274' BOTTOM OF TEST HOLE ELEV. _ _
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0q'1, NNNNNNNNN
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W.
VG SPOT EL:VATION 00,0
VG CONTOUI ----00----
SPOT ELEV,TION
CONTOUR-
'EST LOCATION til .,:..:.:_
POLE -0-- i9o`.o6
WATER =W-�W
RACIN /MO