Laserfiche WebLink
�� << Ll <br />-NVIRONMF=NTnL HEALTH DEPARTMENT <br />A 95202029 <br />600 Fast Mala Street, `i1) 46)4 0138 WOb: www sJ9ov org/ehd a o <br />Tolophorle: (709) 468-:u17O Foo 1209) <br />PERCOLATION TEST RATE <br />A00RI 5S ON I OCATION: r i\(r\..)/moi OATS.Ft <br />i1WNPN NAM) -'I_DEPTH TO FIRST WATER <br />AIN:1 j _ APPLICATION <br />>(At IN PI <br />i <br />R( MARKS -- <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES)00 <br />t i PERCOLATION TEST SKETCH <br />I I Itr c)I \IIONTI;sTsKIi"l('ll - ,.._,_ <br />I L__ i 2-11N DIA. f VC PIPI I- <br />I'. )AL1 Pt y-' I'IPh i I I I 4. IN DIA. SOQ. R0Rr'.�'( <br />I I', I H.\ ti� ill IU <br />� I <br />3,o + a <br />- i <br />3, 71S RCFn.i.ln.I<an- <br />M IIIJ 111n 11 <br />SOIL PROFILE IF REQUIRED ` <br />nenlh Soil Tvpe Depth Soil Type Depth Soil T e Depth <br />)e <br />Test Hole # 1 — Test Hole # 2 <br />Parcel Diamete,. In Depth Parcel: Diameter: n Depth: <br />I lig .a V/,..� .I)... Rrr�,, r <br />F;r-„r vr, "VAI - <br />c: <br />M. � s —1_—� 3 IT <br />PERCOLATION RATE: ---- minlin <br />RECOMMENDED SEPTIC AREA'._ <br />T 1=ST PERFORMED BY: -1 FST CERTIFIED BY: I I� <br />;)BSERVEDBY(REHS)�._- _ <br />1111) 4-1 o J HL v I uaal' <br />PERCOLATION RATE: _- minlin <br />RECOMMENDED SEPTIC AREA: <br />Phone: _ �-'�' �_� I b C - -- Date1 1 f y2 01 ai <br />Phone. Date <br />Phone. _bg.'.. Q' S,5 Date <br />L. KCI SI IbULI Of W <br />