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Percolation Test Log
PERCOLATION TEST LOG Time: i 1,,xt Date: i/_//.dy Map/Lot No. Address: 3l r'' P .5" Engineer: Q� rn2 _Health Agent: y u z („,mot I / � Expansion Area: Yes: No: Suitable/Subs ace Sev�age: Yes: No: Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches: 1 If No, Why? Unsuitable: Why? Well: Town Water: Subdivision/Owner's Name: SKETCH: 1 0 Vi. I) - - 7 'il`i ortaY c7-3 I ______t 1 - 1. ' 1 l. -1'-7 Notes: c(..."3„/ JI Water At: I'f/ �, Ft. DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon Soil Texture Soil Color Soil Motting Other (inches) (USDA) (Structure,Stones,Boulders, �.N Consistency,%Gravel) 9 1 a A 6,0 15 ( .)j ( /1 )a - al 6 L5 /,),,, s4 31 - ill C 01 d ).< qIv DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon Soil Texture Soil Color Soil Motting Other (inches) (USDA) (Structure,Stones,Boulders. �) Consistency,%Gravel) ! f 0 1 i,l? 5 wy0 66 LS Ili 1 i3Gic,It 4 o— orce040o— 1,/