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ADDRESS OR LOCATION 1,991 1w5rso,CC <br /> OWNER <br /> APPLICATION NO. 145 9z-79 DATE Y�/czz SOIL PROFILE <br /> ( IF REQUIRED) <br /> EPTH TO FIRST WATER : SIZE OF BORING : #z = 71' <br /> SOIL TYPE: <br /> 1 ' <br /> REMARKS ! f !+�Gv <br /> 2 . <br /> LOCATI N F TEST OLES (SHOW WELLS & STRUCTURES) 3 ' <br /> 2 <br /> 5 ' <br /> 6 ' <br /> 7 ' <br /> B ' <br /> 9 ' <br /> 10 ' <br /> TEST HOLE ill Ila <br /> 5 cIla TEST HOLE 112 y <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 7qs <br /> Ll �9 /L <br /> s: U <br /> /Z <br /> �1 l� r <br /> Z -vU y,, <br /> PERCOLATION RATE : PERCOLATION RATE : <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA : <br /> TEST PERFORMED BY : M �snPldlm�l <br /> -GST CERTIFIED BY : <br /> OBSERVED BY (SANITARIAN) <br /> ru nr 1 , <br />