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PERCOLATION TEST LOG Time: f r00 '
I Date: '1-?S- i
ff �
1 Map/Lot No. Address: ( ph y(/'r Pr.
r 0 /�
Engineer: F k PlG�, _Health Agent: L k.,---Al=---
1 Expansion Area: Yes: No: Suitable/Subsurface sewage: Yes: No:
r Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches:
I If No, Why? Unsuitable: Why?
Well: Town Water: Subdivision/Owner's Name:
SKETCH:
r
1 0— cl Lf.'t/4
-ILkNotes: r ? ( Water At: 7e Ft.
DEEP OBSERVATION HOLE LOG
Depth fromSurface Soil Horizon Soil Texture Soil Color Soil Motting Other
(inches) (USDA) (Structure,Stones,Boulders,
Consistency,%Gravel)
3 ?it --1 1 1
* — Al A L5 IUy1 . 7()
1 ill r L 5 fell t
-5 ila C hn S lv.1 t/.�
DEEP OBSERVATION HOLE LOG
Depth fromSurface Soil Horizon Soil Texture Soil Color Soil Motting Other
(inches) (USDA) (Structure,Stones,Boulders,
Consistency,%Gravel)
L ) (J 6/1
f . -
Ci in-' 1 1v,If v}'
.27 C- 117a