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Percolation Test Log PERCOLATION TEST LOG Time: a l?r't Date: $- /s-- old . Map/Lot No. Address: 57 A F.-rat, L e ad Engineer: P \C\ c. N-/4-e= Health Agent: . G Fa{J i-4v E-w I Expansion Area: Yes: No: . Suitable/Subsurface Sewage: Yes: No: 1 Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches: kk� If No, Why? Unsuitable: _ Why? f 1 Well: Town'Water: Subdivision/Owner's Name: i_.... . . ........... . _...._..... .' j SKETCH: al. e-1.-- r._....__............... _ _._..._... n0 4 e_f, I,e. /- • • • ee 60fib vr. 9 . Notes: LOR. � o( 7 h" 7S Y�yi Water At: /a..�, Ft. DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon . • Soil Texture Soil Color Soil Motting Other (inches) . (USDA) (Structure.Stones.Boulders, Consistency,'.Gravel © - d a.:1 —'--- F/ // . . aa`= 3 0 PtL, / o Y'2 `tea.. 3.a 50 `' 13 L. 5 / 0R '3- "AA > 02 .,5-r'X . • • DEEP OBSERVATION HOLE LOG . • Depth fromSurface Soil Horizon . Soil Texture Soil Color Soil Molting Other , (inches) (USDA) • (Structure.Stones.Boulders, t Consistency.V.Gravel • • Lot/0 rr, — q