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Percolation Test Log
PE+COLATION TEST LOG Time: ,. . Date: /-•/7-a.3 Map/Lot No. Add ess: / Li bl 41 A .e t— Engineer: L Health Agent: `r en R Expansion �PJ�►� � w . . : it/it-4 l P Area: Yes: No: Suitable/Subsurface Sewage: Yes: No: !i Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches: f If No, Why? Unsuitable: _ Why? Well: Town'Water: i Subdivision/Owner's Name: SKETCH: J ) 1 , • orza . ei.. • .. • Notes: Water At: �L?,,. ,Ft. DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon i . Soil Texture Soil Clor (inches) o Soil Mooing Other . (USDA) ISln+nuee•Stones,&olden, Consistency,%Grovel)F 0_ / 4, • `6h� �.'' i 1- S ' /0 R 3/ )6) - .Y . A 3 / o 7R 67s . • " 4/ - 1) 0 C S , •3 r z,i, . . . • . __ ,__________ • , DEEP OBSERVATION HOLE L Depth fromSurfac Soil Horizon ' Soil Texture LOG • (inches) Soil Color , Soil Mottin (USDA) g Othcr • tstn+eturc•Stones•aouldas, I Consistency%Csyeq • 6,, Hoiv. L/0 ja_q 3 ; 00 1,1,;N