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I` DATE: / v <br /> OWNERf <br /> APPLICATION #: DEPTH TO FIRST WATE� rt SOIL TYPE: <br /> 4 hour test 1 hour tsst <br /> fill REMARKS: 30J112•Last Water Drolo 101(121LaslWater Drop) <br /> Deep less than or=30 minfn <br /> q shallow less than or=60mwdn <br /> LOCATION OF TEST HOLES (SNaw WELLS AND STRUCTURES) <br /> ;li r <br /> SOIL PROFILE (IF'REQUIRED) <br /> s Depth Sail Type7M11Sail Type Depth Sail Ty e De th Soii Type <br /> TESTI HOLE #1 DIAMETER: L in DEPTH: �+U0in TEST HOLE#2 DIAMETER: iII DEPTH: in <br /> WATER <br /> WATER REFFILLED <br /> TIME READING DROP REFFILLED TIME READING DROP <br /> Z/00 <br /> e2l 3,50 <br /> Z//, <br /> "4 <br /> PERCOLATION RATE: miu/in PERCOLATION RATE: rnin/in <br /> RECOMMENDED SEP AREA: RECOMMENDED SEPTIC AREA: / <br /> TEST PERFORMED BY: Phone: 7.0 �?� Date: O `3� �tr <br /> TEST CERIFIED B Phone: ? cl� Date: �' 0 <br /> OBSERVED BY (RENS): Phone: oZv �3 -7Date: <br /> i ! <br /> ? PERC TEST RATE FORMIC <br /> t — ERDi42-02-003 <br /> f REVISED 517102 <br /> F <br />