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Percolation Test Log 6/6/24
_ PERCOLATION TEST LOG . , Time: 7 '" Date: 6-6-- ' Map/Lot No. Address: t90 /We Engineer: Oz,, ..ln (' Health Agent: I 1 � ---- 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: ( _ i Notes: Water At: _:Ft. DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon Soil Texture Soil Color Soil Motting Other (inches) (USDA) (s �Stones,Boulders ��j s K- DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon Soil Texture Soil Color Soil Motting Other (inches) (USDA) (structure,Stones,Boulder Consistency,V.Gravel) th46 5/� C , a(5A t 0)1 ek u9A Coo ; /f ram,6 t Z