Percolation Test Log PE � COLATION TEST LOG
Time: /r /p , Z
Date: / j M,
Map/Lot No. Add ess: // t f S I` (1 I
Engineer: Ala, �---
1,, _ji 'p e y Health Agent: - p_ao_i-A)et.
Expansion Area: Yes: o: Suitable/Subsurface Sewage: Yes: No:
Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches:
If No, Why? _� Unsuitable: _ Why?
Well: Town'Water: I Subdivision/Owner's Name:
SKETCH:
[-------1-7---, . ,
•
Notes: a a� : /
�'-�*t /0/v ,Ft.
DEEP OBSERVATION HOLE LOG A_,v b`'`"`16'G719.—
Depth fromSurface Soil Horizon' . Soil Texture Soil Color
(inches) (USDA) Soil Mooing Other
ISttucture•Stones,&widen.
Comistencr,%Gnvei)
0 I a ^ A ' A ,--s /of-2 )/__9
7
4A S / -3-
•
It .-d0 ' i? ‘4 C . Or\ S
i 0 lA .
•
• ; DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon
(inches) Soil Texture Soil Color
1 - (USDA) Soil Mooing Other
oinxture.Stone.Boulders,
• t Con,iu %Gn I
_ -•
a
1. e ` c
' bil a - '/0 "
I