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Percolation Test Log
:...._..._'.. ..... _ . ..._..._....... ., .,_ ., _....PERCOLATION TEST LOG - Time: /�`a 0 s. Date: Sl3/ ZZ, Map/Lot No. Address: a /z L, .,z% -o,ijt p t Engineer: i, 4.,p , 1 s'c v Health Agent: ---- i Expansion Area: Yes: No: Suitable/Subsurface Sewage: Yes: No: 1 Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches: i If No, Why? Unsuitable: Why? I 1 Well:A 1`7 f-Town'Water: Subdivision/Owner's Name: i 4_..._ .... ............._.....__.,................ I-_ i . . __..... ..._...._........_..:..__._....._,................. �,_... ...�.,� SKETCH: Ni ___ 6A,...„„ — 7 _ .(-16 l . c_____p_ \_,_ ____ ... . • • ‘vi /• � ; Notes: E— �} T GV A ro,,.:,j A Water- t 13Z - DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon . Soil Texture Soil Color Soil Molting Other (inches) (USDA) • • ISttuaure;Slants,Boulders, Con.tstencv,%Grovel) 4 z___ s /6,yrF V 79 ;, �� L S i t,y, 6/17 • v9-l3Z• C MS 16/-R7/4--/ /1O to LJ ` • . • i DEEP OBSERVATION HOLE LOG . . Depth fromSurface Soil Horizon . Soil Texture Soil Color Soil Motting Other , (inches) (USDA) (Structure,Stones.Boulders, 1 Consistency,%Gravel)