HomeMy WebLinkAboutPercolation Test Log PE COLATIONTEST LOG___ Time: m ''
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Date: /.2 — )- _21
. Map/Lot No. Add ess: 7 No-. L..) c c Pu
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Engineer: D , F� a Ir ?'y Health Agent: C
Expansion Area: Yes: o: Suitable/Subsurface Sewage: Yes: No:
Expansion Area Tested: Yes____ No: Leaching Field: Pits: Trenches:
If No, Why? `
- ! Unsuitable: _ Why? J
Well: Town'Water: 1 Subdivision/Owner's Name:
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SKETCH: ----..._._.-._..._..1
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Notes:
Water At:_ Ft.
DEEP OBSERVATION HOLE LOG
Depth fromSurface Soil Horizon 1 . Soil Texture
(inches) (USDA) Soil Color Soil Molting Other
(Structure,Srortq Boulden,
AA--r,
Coaistencr,Y.Gravel)
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DEEP OBSERVATION HOLE LOG
Depth fromSurface Soil Horizon I Soil Texture
(inches) Soil Color Soil Motting Other
- (USDA)
(Structure,Stones,Boulders.
t Consiuercy,%Cxnyel)
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SERVICE NO. 11095-40
Anthony Guglielmo
NAME
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STREET
/Hawes Run Road - North , , Lot 9
VILLAGE West Yarmouth '
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