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Commonwealth of Massachusetts
- _ - - - City/Town of
' Percolation Test
Form 12
Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage
Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but
the information must be substantially the same as that provided here. Before using this form, check with
the local Board of Health to determine the form they use.
Important: Site Information
When filling out A.
forms on the <' .
computer,use
only the tab key Owner Name
to move your
cursor-do not
use Street Address or Lot#
key. a return
y City/Town � �,, —------ tat -.-
e Zip Code
--- �' -�
Contact Person(if different from Owner) Telephone Number
B. Test Results
Date Time Date Time
Observation Hole#
Depth of Perc ---- - ` ------
Start Pre-Soak / - --
End Pre-Soak p
Time at 12" —
Time at 9" v '
Time at 6"
Time(9°-6") -----— � + --- ----..
-------- ---
Rate (Min./Inch) �Ian" J —
Test Passed: ] Test Passed: ❑
Test Failed: ❑ Test Failed: ❑
Test Performed By: (� J
Witnessed By: – - --
Comments:
t5form12.doc-06/03 ,r' ) Perc Test•Page 1 of 1
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