HomeMy WebLinkAboutSeptic Repair 00 Burgess Road FORM te SOUTH WINDSOR HEALTH LL PAkTN iL-. - krc. �1i'iI0'eo .RO.
• INPESTIGATIOR FOR SEWAGE DISP4SALM
Owner LOCATION 1. ��` ✓r
PEACOIATION TESTS: (Record all. tests) SOIL MOISTURE:
Date , med., Iow, etc.
TEST READINGS
SOLE #1 RULE #2 nCLE #3 EOL^c. ,�
Time Reading Time Reading Time Reading Time Readina
TABULATION OF TMT RMLTL.TS
Presoak Minimum .Percolation ??ate
Hole Location ( nch_s} Ers. ) (Mans./Inch)
1
2
3
4 r .
CBvIIVTATION PM: (Record all pits)-,L---L4;5eJ Grcund 'dater Table-. Near Max., Below Max.,
Date
OIL DMCRIWI CIO',o
PIT A FIT B F?T C PIT D
6- tz. q�iv
TABULATION OF OBSERVAmTOR PITS
Ground Soil
Fit Locaticu Depth Ledge At Water At Nettling
B
C -- - - -
D
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