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Percolation Test Log
PERCOLATION TEST LOG Time: ..a. nrN I Date: ,-2-,. --j 3 Map/Lot No. Address: Q n.) -�- i. Engineer: C n N Health Agent: �-1 R D;._k/c Expansion Area: Yes: o: Suitable/Subsurface Sewage: Yes: No: l Expansion Area Tested: Yes _---- No: Leaching Field: Pits: Trenches: If No, Why? Unsuitable: _ Why'? I Well: Town'Water: Subdivision/Owner's Name: �_. SKETCH: _. j Iiit,,.L.I.Vr - • • • C,, l'i-c -c-• - 7/41) • Notes: �, Water At: 4A Ft. DEEP OBSERVAT I, v r� - /3e-1 !/ ION HOLE LOG Depth fromSurface Soil Horizon' • Soil Texture — (inches) Soil Color Soil Mooing Other. (USDA) ISlnunwe,Storm,&video, !l 6 // F _ i 1 - Consistency,Y.Gyve) 1 /`/ Ii ) A _s , /oia. /g -A/c), ) • 3 " m /0 . • DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon Soil Texture (inches) Soil Color Soil Mooing Other • (USDA) (s, ,po,e.Stones ea we, Coniiuency,%GIyet) — - ( CCc /A , 71-N.1 r../ • •