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Percolation Test Log
PERCOLATION TEST LOG Time: /U v 0 10 • Date: it-/7-a Z I Map/Lot No. Address: - t) S (3; / _; Ai 1 Engineer:--1 Health Agent: C._ Expansion Area: Yes: No: Suitable/Subsurface Sewage: Yes: No: Expansion Area Tested: Yes ( ____ No: Leaching Field: Pits: Trenches: f If No, Why? Unsuitable: _ Why? Well: Town'Water: Subdivision/Owner's Name: SKETCH: _..._..._..1 . - -- __ O '6r - (c s &n 38r) • t. -Z Notes: i ` F 1 N /'0 "r,r�‘.3/c�, f, ' Water At: Ft. DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon' . • Soil Texture (inches) Soil Color Soil Molting Other . (USDA) g (Structure,Stoney Boutden, • Coaistencr,%Gavel) 0 6 / 0 riZ 4/�b 6 _ 3 A. /oill Vs . • , p • _ 3, -1 © c . -.g i 6 • • • • DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon Soil Texture (inches) Soil Color Soil Motting.. 8 Othcr (Structure.Stones,BouWen, t Comiu %Gre 1 • arr` t ►-.1