Percolation Test Log PERCOLATION TEST LOG Time: T Date:
Map/Lot No. AddiJess: AL / A/dIe r R Cl
i. Engineer: Health Agent: '�;
�- �`(\e �N -Q-e A NJ 1 /mot 0- -- i
Expansion Area: Yes: No: Suitable/Subsurface Sewage: Yes: No: i
Expansion Area Tested: Yes __ No: Leaching Field: Pits: Trenches: f
' If No, Why? , 1 Unsuitable: Why?
1 Well: Town'Water: ! Subdivision/Owner's Name:
SKETCH:
------\ . 0
1
0
/ )
Notes:
Water At: Ft.
DEEP OBSERVATION HOLE LOG
Depth fromSurface Soil Horizon! • Soil Texture
ure Soil Color Soil Molting Other
(Structure,Stones,&widen,
r - Conrin encr %Could)
0- A /pfK %3
gi 3: 3 A - ' /otk /4,
35- 6 D,r C IrrS J.,S Y0j
6 0" /0.6 c�. is a . ,51 /3
A 6 3 � -no
I .. DEEP OBSERVATION HOLE LOG •
Depth fromSurface Soil Horizon Soil Texture Soil Color
(inches) (USDA) Soil Molting Other
(Structure,Stones.BouWos,
t Conn uenry,•/.Greyel)
Pr
- N
o2m,