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Percolation Test Log
�,;. .._..._....... ,. ......,._......� .,,..,.-'�PERCOLATIONTEST LOG �....�...,._ . �.._.,....M..w._...._..._. • Time: / 'P/A, • Date: -,1.)_ Map/Lot No. Address: //.7 . 0/,D, �d(j ry L a v y e (2 rL 1 . Engineer: / M - k a te Health Agent: A iks +-,ive r-- 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: t;S t vt -rfkr4 k. iiiy,' a e er ,0ie, be. • • 0 A 0 TowN.v.a,,st , , / ,:g " - Ivo 641, Notes: Water At:• /OAi t,Ft. • • DEEP OBSERVATION HOLE LOG. Depth fromSurface Soil Horizon . • Soil Texture Soil Color Soil Molting Other (inches) (USDA) • tsuueare sans Boulders. Consistency.%Gravel) 0 q ' AS /©1 `�/a. . _ 3 i $ IOt SSS • . •iid 3 - / Z" C . • . , • ... • , . DEEP OBSERVATION HOLE LOG • . Depth fromSurface Soil Horizon . Soil Texture Soil Color , Soil Molting Other (inches) . (USDA) .. (Srn�ao sans.[ladders. • Coniston%%(leave) erC �aff rf a rc... \ 7L2 /t N