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Percolation Test Log
PERCOLATION TEST LOG Time: Date: 1- J?) Map/Lot No. Address: / / �. 1(3 42 r • Engineer: it S Pr Health Ag nt: 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: , re Nc ]' 0 — 0 -- ; s4;.v. S 4eYr-- I pet re.,, 1 Notes: Water At: COL/eft DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon • Soil Texture Soil Color Soil Motting Other (inches) • (USDA) (Structure,Stones,Boulders, Consistency,%Gravel) , 0 / (�U , % hR, 1/6 /0 = 3 Dry a S /or 7/3"-- 3 y DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon Soil Texture Soil Color Soil Motting Other (inches) (USDA) (structure.Stones.Boulders, Consistency,%Gravel) • • / € o C