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NORTHAMPTON BOARD OF HEALTH
PERCOLATION TEST DATA
Address
Amer
Perc Rate
min/in
Depth to water j'2
min/in
Lo[
Engineer/Sanrterian
Excavator
Date
/f
Witness Fee
A
MI
Sketch of Lot w/ Location of Test Holes
Witnessed by
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,E669
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MVO Si
VA
svx3 Y t
. �r / OE
N
J
0
O
CO
N b
n
N
U
•
V
•