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Percolation Test Log
PE COLATION TEST LOG - Time: Fr'YN• Date: //- 3- 2_ Map/Lot No. .Address: aj..., c �,� z if Engineer: 7D , Yi`,- v /v Health Agent: A R.c ,vG -`- Expansion Area: Yes: o: Suitable/Subsurface Sewage: Yes: No: Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches: If No, Why? Unsuitable: _ Why? I Well: Town'Water: Subdivision/Owner's Name: { SKETCH: / - 7 , '4.1,1%,,, , ) sir. ' 1 EX•r S/ ,'„tJ 7 ��c I L • Q"\ Notes: L/,��( Water At: ! It DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon! . • Soil Texture Soil Color (inches) (USDA) Soil Mooing Other (Swetae,Stave,Boulders, Comisienc,%Gravel) 1 CI.-- / C . 0 4 S 10 i-2—.i c).. - 3 1 �* • -33 .— 13c), C 7.- S 7 - • ,..... 4 5..... r. q • DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon Soil Texture Soil Color (inches) - (USDA) Soil Mooing Other (Structure,Scones.Boulders, t Conduency,V.Gravel) i . • ' �J\Q r c.