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Percolation Test Log
r. PE COLATION TEST LOG Time: lri • Date://) Z . Map/Lot No. .Add ss: Cr e CO tJ r- f Engineer: YNN 0 r-r2 Health Agent: . G i►ia Expansion Area: Yes: No: . Suitable/Subsurface Sewage: Yes: No: t Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches: If No, Why? Unsuitable: _ Why? Well: Town'Water: Subdivision/Owner's Name: SKETCH:. .._..._..._............. . -- - _ J __.............. .__._...._ _._. . .____....._._..._...�..! • LI(• e 1 Notes: Water At: h 7 Ft. DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon . • Soil Texture (inches) Soil Color Soil Molting Other (USDA) • (Structure.Stones,Boulders, Consistency,V.Gravel) • mS /0�R � • • • • DEEP OBSERVATION HOLE LOG • Depth fromSurface Soil Horizon . Soil Texture Soil Color Soil Mottin(inches) • (USDA) g Other (Structure.Stones.Boulders, Consistency,%Gravel) • Ise r�