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HomeMy WebLinkAboutSeptic Repair 81 Chapel Road FORM#2 State of Connecticut Department of Public Health APPLICATION NO.. INVESTIGATION FOR SEWAGE DISPOSAL SYSTEM Owner Location c L.&. eZ J2,L PERCOLATION TESTS: (Record all Tests) 'L >--) -0 9 SOIL MOISTURE: J b w (Date) (high,med.,low,etc.) TEST READINGS Rep a-i►� . .HOLE L� HOLE HOLE HOLE Time Reading une Reading Time Reading Time Reading TABULATION OF TEST RESULTS Hole Location Depth Presoak Time Percolation Rate OBSERVATION PITS: (Record all pits) r'� Groundwater Table (Date) (Near max.,Below max.,etc.) SOIL DESCRIPTIONS PIT PIT PIT PIT 0-0z .2,��y� Ff f�llys Cac"rlr f&K d lb je�" Yf TABULATION OF TEST RESULTS Pit Location Depth Ledge Ground Water Mottling 1/1/00 4 M•S. M•5 O 3o"y6 yz 041 . /f�/F CTUiPGE.GAS , pF - Thi�O 7OR E 2 P/ Tom' O SO• /Y,Dso /YOI/ 1-94.x- -opE /Q 3 SUeSrAn'r1.4 4ZY CO,'9rECJ.' . �►- gb 8l , ys . Az- 8b: Dt-36'y" � 6 9 41141 +0 e 14 cs 1 h ew D •�- rc Pipe fro NOTES SOUTH WINDSOR HEALTH DEPARTMENT LOCATION Pl c •G 2 OWNER TYPE OF WORK DATE e r'-cY PERMIT - PIPE INSTALLER a er INSPECTOR DRAWN BY