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PERCOLATION TEST LOG Time: 9'vo
Date: S• c,• 7vi
' Map/Lot No. Address: l? Sn I /3141/±_____ ;
Engineer: a CA j1€ 4s Health Agent: any ' 6...4-24
Expansion Area: Yes: No: Suitable/Subsurface Sewage: Yes: No:
Expansion Area Tested: Yes _ No: Leaching Field: Pits: Trenches:
It No, Why? Unsuitable: Why?
Well: Town Water: Subdivision/Owner's Name:
SKETCH:
@ 0
Notes: L Water At: Ft.
DEEP OBSERVATION HOLE LOG
Dept l fmmSurface Soil Horizon Soil Texture Soil Color Soil Motting Other
(inches) (USDA) (Structure,Stones,Boulders,
Consistency,%Gravel)
t 0 - ne
P1i1
tiit , - �3t, A S ivy/L.36
��JI
_ L L. 5
3 ► 1� W OA
4-1 - Idk) c rmi d.c.y 6K
DEEP OBSERVATION HOLE LOG
Depth fromSurface Soil Horizon Soil Texture I Soil Color Soil Motting Other
(Structure,Stones,Boulders.
(inches) (USDA)
Consistency,%Gravel)
k • aegis 11 Egli. on. OW 4 - 6h, ' dif 11 OW/ 0la h'4 X4 r„/
F
. ' � '‘I .
i t
'
d
Fy�_ �� '`"sM�i�..= -'p i} it ktki: 1 n