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Centerville
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Ii
vrJ47.,, APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS
LOCATION LAKEVIEW NO. ry 7
VILLAGE CENTERVILLE DATE
APPLICANT R. ARTHUR WILLIAMS, INC. FEES
ADDRESS # 2 OAK STREET, CENTERVILLE TELEPHONE NO. 428-5717 (Non-refundable)
ENGINEER BAXTER & NYE _TELEPHONE NO. 428-9131
DATE SCHEDULED_JANUARY 8. 1986 0930
(Applicant' s signature)
• • • • • • • • • • • e e • o • e e e e o s e o e • • • e e e • o o e • • • • • • o • • • o • • • o • • • • o o o o . • • • • • • o • o • • • o o • o • • • • • •
SOIL LOG
SUB-DIVISION NAME LAKEVIEW DATE JANUARY 8. 1986 TIME
EXPANSION AREA: YES_} _NO vAL.a _ENGINEER
TOWN WATER_X_PRIVATE WELL Mr.y-�►��p BOARD OF HEALTH
ALFRED PULLER EXCAVATOR
SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and
percolation tests, locate wetlands in proximity to test holes )
NOTES:
� C,940a
6,& �G
- s6 O
PERCOLATION RATE: L'Lv\4ivU PCC(kCk_f-
TEST HOLE NO: ELEVATION: TEST HOLE NO: ELEVATION:
2 L
2
3 3
4 -0 4 -
5 L 5
6 L 6
7 7
g g -
9 9
10 10
11 ( 11
12 �( 12
13 0 13
I 14 Lis e- LUT 114
5
15 lk L� �
16 16
SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD_Z�:,_LEACHING PITS �(
LEACHING TRENCHES Y-,
UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: I�
NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION
ORIGINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH
COPY: RETAINED BY APPLICANT