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rva, <br /> AN OAOUIN COUNTY <br /> "9 ENVIRONMENTAL HEALTH O—TMCNT <br /> `��!�'- 600 Est Main flvrot.5 ton.GA 06202-yULO <br /> �Y!_{j_- Twap/.w�►'l�aulaee-vm�.r.l2ooiass a+aa w�e:ww.v.Ntw•.md.ne <br /> "'- PERCOLATION TEST RATE <br /> 23543 5- <br /> MA,7Er-A 9b. em MA�ITECA <br /> F` UW1G-1TLr � -rn DD R-oDOR'nl wtt -/'/ <br /> w .ER 23Io-1/D-•-L(v -�F? MPl)CAnpl•. -11R TO FIRST WMER- . <br /> say ly PE <br /> REMARKS <br /> LOCATION OF TEST HOLES(SHOW WEDS ARD STRUCTURES <br /> PERC'OL.AHON TEST SKETCH _. PERCOLATION TF:S'1'SKETC1A <br /> l-Pr <br /> I'll PIC PIPs 31N❑La IK'C PIPE' <br /> a-R IlL\Sill.I1fRRU J-I V nl.i MAL Hu1U\ <br /> RCFtL maGiR _ RIIII I IIIhilil __ <br /> r I I I71 <br /> Li I [ IFTIF <br /> TFITT 1 I <br /> SOIL PROFILE IF REQUIRED <br /> De th Soil T De th Soll T e Depth 1 Soil Type 1 De Ih Soil Type Depth Soil Type <br /> Test Hole k 1 Test Hole 1112 <br /> Parcel: ! Diameter: ". I_P"'. t). Parcel: Diameter: In De ih.s <br /> TIM. RFnn'•H(j W"...11L War= <br /> fR'.4 <br /> f.10 5 3 <br /> M.�l'I <br /> 4. <br /> 4•a? :ab 43 .43 <br /> PERCOLATION RATE:_ H.G( —_miNln PERCOLATION RATE: minlln <br /> RECOMMENDED SEPTIC AREA: <br /> RECOMMENDED SEPTIC AREA: ___----- t <br /> — ----- DateL- <br /> TESTPERFORMEDBY: Phone. <br /> __ _ - --- <br /> TEST CERTIFIED BY: Phone: Date__---�I�7� <br /> We <br /> OBSERVED BY(RENS):��s'i' PhonelF.�'- � �-- <br /> PERc tLat nAtL roRM <br /> t1O 4-09 REV t H2109 <br /> Naseem Ahmed, Registered Environmental Health Specialist Page 1 of 1 <br />