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Percolation Test Log
- m::. ,e4.,btr rte€a„�w.8<..: �t. ,..::'i j :,;, i,v �":,y�• ssm,..s ., ,,,:..,..n.;ma.m PERCOLATION TEST LOG Time: /0 Date: _o7_dt,/ Map/Lot No. Address: d "z,,p! <'lv ce r Engineer: C ii,16,r,‘ 5 he,,, _Health Agent: i,.cam'�, t 6 i yy t 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: Notes: 42 Water At:/" Ft. DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon Soil Texture Soil Color Soil Motting Other (Inches) (USDA) (Structure,Stones,Boulders, Consistency,%Gravel) 4 0 1--f) L5 i jg. 36 1 ,L) ...._,d1/4.,) 1( 1,...., 1,5 /04 c/b dL l L \ t3 (, rh ) a '( 74,, DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon Soil Texture Soil Color Soil Motting Other (inches) (USDA) (Structure,Stones,Boulders, Consistency,%Gravel) Carr'-er 6r 5/e1A0A glle 4/ C aSt