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Percolation Test Log
PE COLATION TEST LOG Date: /0 -iy-- a 1, Map/Lot No. Add ss: Engineer: F ___C Lc 1/4 / Health Agent: ---. .- 6Bipz); 44+6/•— Expansion Area: Yes: -NX 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: ....t i• I . SKETCH: - r.-- . .-,--.... / •CC '.. I .- ..C.-t `v--- ...---T , I • ..• AL•'• ,1 I I, • • Notes: 0 ' Water At:c5?( Ft. DEEP OBSERVATION HOLE LOG • Depth fromSurface Soil Horizon • Soil Texture Soil Color Soil Motting Other (inches) • (USDA) auucture,Stones,Boulders. Consistency,%Grovel) A ),. s / o f---,-< / DtVEic . . . • 1, C • 0 f\__ ,t,' 30 - 00 1 • . . . ... , DEEP OBSERVATION HOLE LOG 0 • Depth fromSurface Soil Horizon Soil Texture Soil Color .. • Soil Motting Other •(inches) • (USDA) (Structure.Stones.Boulders, . Consiuency,%Gravel) t • • . . • y) 1 C-7 rc. , ' • .. ,