33 Septic Perc Test 1984 44,}& 49I/iJ
Address
r
NoR111AM1 I'ON BOARD OF HEALTH
I'LRCOLA'1'ION TEST DATA
/ r ; /Fs
MEOmm/gN°
Perc Rate
min/in
Depth to water 60��
Lot 4 Date
lq FIG
Engineer/Sanitarian
min/in
min/in
min/in
Sketch of Lot w/ Location of Test Holes
Witness Fee Witnessed by
21d:4
AiTreas
NIB IIIAMPTUN Ht1ANU OF HEALED
PERCOLATION TEST DATA
Lot $
)L.-F
Owner
-;1254,11
Date
ngineer/Sanitarian
Perc Rate 2 min/in
Depth to water S
min/in
31
min/in
min/in
Sketch of Lot w/ Location of Teat Holes
$
Witness Fee
Witnessed by
II
F "
—coq / gal
Sf / it s
ac ' /
e/
{ 2) d 4 S
C /
y
a
�
C_S - (