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Percolation Test Log r PE COLATION TEST LOG Time: - // WI 1 Date: /D-/3 -j 2 . Map/Lot No. Add ss: 02. 8 A"a(-.,)1I Q r ' t. t • Engineer: / , ,�, Health Agent: s— - �'A R,�f�+-/� i Expansion Area: Yes: No: Suitable/Subsurface Sewage: Yes: No: i Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches: If No, Why? Unsuitable: _ Why? 1 1 Well: Town'Water: Subdivision/Owner's Name: _0 . SKETCH: - X.'S�rov .Sy3 ra • S b t-, [Ti 1 • bob/o - /3 Notes: • Water At: OOP C-Ft. DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon Soil Texture Soil Color Soil Motting Other (inches) (USDA) (Structure,Stones.Boulders, Consistency,V.Gravel) b - f 1 i--. .s /af f2 3/�, " i / O I 1 S� • . • a � I 4 � 5 C , m s %- . n '-‘ 9 1 .' c x ,, , __.., .z) .---5 7 Y., --- 7/ • • DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon Soil Texture Soil Color Soil Motting — (inches) - (USDA) (stnxture,�stoaes Boulders, t - Consistency,%Gravel) . - 1.erc_