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Percolation Test Log
PERCOLATION TEST LOG Time:'.�a Date 13 Map/Lot No. Address: r' h,, f-C/ te, Engineer: � e"Sar Health Agent: I -- Expansion Area: Yes: No: Suitable/Subsurface , ewage: Yes: No: Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches: If No, Why? Unsuitable: Why? Well: Town Water: Subdivision/Owner's Name: SKETCH: Notes: Za Water At ��C� Ft. - DEEP OBSERVATION HOLE LOG Depth fromSurface (inches) Soil Horizon Soil Texture (USDA) Soil Color Soil Motting Other �S /uy�1/ (Structure, Stoncs, Boulders, Consistency, R. Gravel �vyg DEEP OBSERVATION HOLE LOG Depth fromSurface (inches) Soil Horizon Soil Texture (USDA) Soil Color Soil Molting Other ($[rleelure, S1011es. BWlders, 1j` v -4-1 /11 is "