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Percolation Test Log
' PERCOLATION TEST LOG Time: m Date: � .�� Map/Lot No. Add/less: /7� - 0u tk Sir� �7/ ` Engineer: ] c-3(- r..•N Health Agent: ` T) i Expansion Area: Yes: I o: . Suitable/Subsurface Sewage: Yes: No: i Expansion Area Tested: Yes_ No: Leaching Field: Pits: Trenches: ! If No, Why? Unsuitable: _ Whys Well: Town'Water: Subdivision/Owner's Name: i �. ... . . . SKETCH: - - _._..._..._.�! I I . ) `----------..., 117 • ,______A il . - • , . t,. 3 a::6:...sin_,w Notes: � Water At: g:3 Ft. DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon! . • Soil Texture _ (inches) Soil Color Soil Molting Other(USDA) IStructure•stones,Boulders. Coruineur�Gn,L_ . b _ g 'l AS /o -3/ .g— D` /( A S /0 til ' . a • r . DEEP OBSERVATION HOLE LOG • Depth fromSurface Soil Horizon Soil Texture Soil Color ' (inches) I - (USDA) Soil Molting Other tS4ru tune,Stool.Boulder!, C�`^ontiuenty,'4 Groyet) I ' f—C_ • • • •