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Percolation Test Log 6/6/24
PERCOLATION TEST LOG Time: Col) Date: 6- 6.'L7 Map/Lot No. Address: 37 Am,/ L d Engineer: I2 717driY'G Health Agent: /),t( ( u ---- 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: Water At: Ft. DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon Soil Texture Soil Color Soil Motting Other (inches) (USDA) (Structure, eels,Boulders DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon Soil Texture Soil Color Soil Motting Other (inches) (USDA) (Stnscture,Stones,Boulder Consistency,%Gravel) 1.f lhP , f /54_6n r'