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Percolation Test Log
PERCOLATION TEST LOG Time: 3 pm Date: / :. -1-_A - I Map/Lot No. Address: 5 3 r cl. Lc. fy t Engineer: �, kb rr i ,, -r; Health Agent: -p‘ p,' , ,.E r`- Expansion Area: Yes: No: . Suitable/Subsurface Sewage: Yes: No: i Expansion Area Tested: Yes No: Leaching Field: Pits: ' Trenches: ff1 If No, Why? Unsuitable: _ Why? Well: Town'Water: Subdivision/Owner's Name: l i_.... . .. ................._. _.._._...............�:...........�..,. _. __..... . _... _._:..__�._.__..._ ..... ._ _......._..i SKETCH: -• kill n ' 1 . ) . • I n7/oN I 3 Notes: Water At: Nip- Ft. 0/k. • DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon . • Soil Texture Soil Color Soil Motting Other (inches) • (USDA) nu(Sltuwe,Stones,Boulders, Consistency,%Gravel) ©�. I � '� F i I - . it „ /C $ 2 — L- 4/ .1 C - 1 g;W C ,72 NA S J . zz--/ • ✓' DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon . Soil Texture Soil Color , Soil Motting Other ' (inches) (USDA) (structure,Stones.Boulders, Consistency,Y.Gravel) 0 - 91014 0 4. s - /8tR % . L _S �( � ` Per . fi y , , f, S. 7 .51k 4 . .,_,I, h.. .k/LI , L,1.- 3)- ct..)., . 1� �' C ►�� _ / 0 %2 % _� c