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Percolation Test Log
r ...,._-........._. Date: /sc'e----- ; . Map/Lot No. Add ess: /0 Co W,..,k? I Engineer: Health Agent: ---- i Expansion Area: Yes: No: Suitable/Subsurface Sewage: Yes: No: i Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches:- 1 - i If No, Why? Unsuitable: _ Why? Well: Town'Water: Subdivision/Owner's Name: i 1- - ,.. _ SKETCH: • • • - .. . .• , • • . . - . . . • .. 1 i /026 _ • ' Notes: . Water At: f\IL:Vv-c Ft. DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon ' Soil Texture Soil Color Soil Motting Other — (inches) I. (USDA) • ISiructute,Siena,&pokier% Consistency,%Gravel) , 1 '\: . 5 . / • ,. ....... • . . . . • , • •74' - • _ 1.) • • i . ... I DEEP OBSERVATION HOLE LOG • .Depth fromSurface Soil Horizon Soil Texture Soil Color ... Soil Motting Other (inches) - (USDA) . (Structure,&ones.Bouldat. Continency,%CsenYel) • • - 12er c f•rj ... - . • t 5, 11 • . ._- • • •