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PERCOLATION TEST LOG Time: % Pj1l
Date: S- _I/_ a-
Map/Lot No. Address: ,;2 / 3 c u r 3I`,41. /(-
Engineer: rr . Au c 0 .., Health Agent: G; )2,0 IdLi it—
Expansion Area: Yes: No: Suitable/Subsurface Sewage: Yes: No:
Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches:
__,_____
If No, why?
Unsuitable: _ Why?
Well: Town'Water: Subdivision/Owner's Name:
SKETCH:
•
i
i , I _ A.74
,
Notes:
d R Rae2• �`� Water At: 4—Ft.
DEEP OBSERVATION HOLE LOG
Depth fromSurfacc Soil Horizon' .
(inches)
(USDA)Sail Texture Soil Color
Soil Mooing Other
(Suunwe,Staaek Baulden.
/ s , w Consincncr Y.Gnwrl
, I
rr A >
r L
16 3 / V A. /'° r /
l�
y// / s 1 o y
. .
1 DEEP OBSERVATION HOLE LOG
Depth framSurface Soil Horizon Soil Texture
(inches) Sail Color Soil Mooing Other
- (USDA)
(Stnxtwe.Stales.Bouldoi,
Colds i,Gn l
D
I sQC
b®t/0r-' .2 .