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Percolation Test Log
r:. ......._,. . ...._ .. .�..._.... , PERCOLATION TEST LOG..,. .._,...._. . Date: -J Z Map/Lot No. Address: / 6 / re't•-=t�1� Engineer: r (\ e fit; .r ` Health Agent: � 1 j 6'f1 RD)-d— /L. 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: 4#44 0 '( )' ell • • Notes: Water At: �� Ft. e Dis) DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon . Soil Texture Soil Color Soil Motting Other (inches) • (USDA) (Structure,Stones,Boulders, Consistency,%Gravel) 77. . 3 e / 0 f`a 5/s,� - 1 '3g1' C mA / 0/ DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon . Soil Texture Soil Color Soil Motting Other (inches) (USDA) (structure,Stones.Boulders, Consistency,%Gravel) • r .c_.