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PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: <br /> Z <br /> OWNER NAME. / <br /> r� i J• �!N E ST. clTv: 'T QNTa tJ <br /> APN' OGI t^1A�Tl^1 DATE: b�F/ <br /> SOIL TypE; OO I APPLICATION#: DEPTH TO FIRST WATER: Ft <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) <br /> — PERCOLATION TEST SKETCH _- .;—y f PERCOLATION TEST SKETCH ' <br /> I 2-N DIA.PVC PIPE' 2-IN DIA.PVC PIPES <br /> I 1 I 4-IN DIA.SOU,BORING I <br /> 4-N DLA.SOIL BORING 1 <br /> f �v <br /> -- 3•C•C ! REFILL I4EIGHT I <br /> LFILL HEIGHT i <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth I Soil Type Depth Soil Type Depth Soil Type <br /> Test Hole#1 Test Hole#2 <br /> Parcel: 1 Diameter: in Depth: -3: C Parcel: Diameter: n Depth: <br /> TREADING WxTER DROP REFILLED <br /> T161.: READING WATER DROP <br /> 3� 3 '40 -3-23 <br /> r <br /> .0t7 3 r] q -7 3.'.t <br /> `1.30 31(e 3.S,5' _ <br /> 3.X16 — 3,53 — — — — —-- - --—— <br /> 1� jv <br /> 3,,'7 4q3, <br /> /j.'00 <br /> /j.'00 3:`7(1 11 y 3, s� <br /> lr -3C - :3 i �` 3•`f�1 <br /> U& 3, 1,oy b <br /> PERCOLATION RAE: ---L _— ---minlin PERCOLATION RATE: _—_--_—_—__---minlin <br /> T <br /> RECOMMENDED SEPTIC AREA: ---------- <br /> RECOMMENDED <br /> _ __—_— <br /> RECOMMENDED SEPTIC AREA:_--__—_------- ac -GcS_�1 � Date _ <br /> .f ) Phone: _—L--- ----- -- <br /> TEST PERFORMED BY: _1_—Y�i�—��---------- Phone: .____--------- Date <br /> TEST CERTIFIED BY: -----` ---- ?act�(s�e1(.e�( Date <br /> -- _ — Phone <br /> OBSERVED BY (RENS): _ _--------- PLRC TEST RATE FORM <br /> EHD 42-03 REV 11009 <br /> s <br /> L <br />