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Fil, ADDRESS OR LOCATION: C6,A-Z l( U+4 -aQ APN: <br /> OWNER: Kvw'w hc�1 i i DATE: 12 MLS c�`7 <br /> FAPPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> { /n d hour test 1 hour test <br /> REMARKS: �—Ay\ Pcyu-A f� ��/l a0!(12'LastWaLer Drop) 191(12'Last WaterDrop) <br /> Deep less than or=30 min/in <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) a Shallow less than or=69minlin <br /> A i I <br /> 1 4 <br /> F <br /> SOIL PROFILE (IF REQUIRED) S -x-11 <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> E <br /> TEST HOLE#1 DIAMETER: `'f in DEPTH: _ in TEST HOLE #2 DIAMETER: L4 in DEPTH: �Z . in <br /> �J <br /> l TIME READINWATER READING DROP REWATER FFILLED TIME READING DROP REFFILLED <br /> it <br /> s.ys ,► �� D�r �3 5,z� <br /> i �2 � Jo J� 41 I 1�•L�� <br /> 1 r <br /> l <br /> r <br /> PERCOLATION RATE: ���.2 - min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: !I4-7 _51 toy Date: 1221 HZos <br /> 7 — <br /> TEST CERIFIED BY: Phone: 3 / J Date: <br /> OBSERVED BY(REHS): / ��70� eon Phone: 5 3 7�l Date: �� d <br /> EHD 42-02-003 <br /> FERC TEST RATE FORM ic <br /> } REVISED 5n102 <br /> l <br />