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'n ° '` '`-x ..:2 L-6.,4 PERCOLATION TEST LOG Z O N Time: 3Qt)
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Map/Lot No. '4. Address: 19 F3a ke L 4
• SIMI-a_ - _ .G 0 ' tYq vi Health Agent:
Ex ansion Area. Yes: No: _ Suitable/Subsurface Sewage: Yes: No:
Expansion Area Tested.- Yes) No: Leaching Field.: Pits: Trenches:
If No,Why? ` Unsuitable: Why?
Wei 1 own Water: \ Subdivision/Owner's Name: t
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SKETCH: ,
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0
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O • ,NO To `►
Notes: water At \LI$
i BA Kc—r-, 141.IY
DEEP OBSERVATION HOLE LOG--— — ---1---
Depth fromSurface Soil Horizon Soil Texture Soil Color Soil:Matting Other
(ha) (USDA I Canns_Stamm Boulders.
I.
d - ,C rt. L 5 ) 0ye34
5
Li - ''-'E'l C ri s ) oy2 �l3 .
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?,2_r c. 44, --- - --i1 .
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No (9,i r•.d Ljc -e-s. _
DEEP OBSERVATION HOLE LOG .
Depth fromSurface Soil Horizon Soil Texture Soil Color -SotTFviotisag — Other
(mom) (USDA) (Structure.sem,liaidets,
1 C.xc d) -