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BARNt3`f R�14�kC �� ] PRo{��y LocATlotl <br /> OWNERSAC DDRESS OR LOCATIONmosrF& Qt,r�*`a�� <br /> Ey <br /> �C�ToSZ QF $ 11�Ra/1p Its Is Ct> <br /> P.M. or S. NUMBER:- �kts DATE: 1O 122 RAbO . <br /> lEvE ct-Eb w vrAS �v REQ IN cOLP�Ttc?j.1 sL)t7s3o1 <br /> �►E HSL . A�A c, , �awA A2g2 �o SOIL PROFILE <br /> DEP T� f Iil5 T PE�FA �,t ,� SIZE OF HOLE: 2„ ". -9�-Za � ( IF REQUIRED) <br /> Exc4VjZEST OLS Kms. 'CZ7 Gt211140 <br /> M AZc�Mu�l D�� o I ln-ca 8'-t A�. z of Qbcm a �rt o " CZ09}1 ' Rg <br /> ttot. t4a 2-SOIL TYPE: t.►�� c <br /> is 22r-a-j" ; �� �pE6 �c I.;��tura -M-sr �,oL.� Nom.AZ Nk-4 t� 15711 21 f LOA ct p, ey <br /> REMARKS:'N32 \NyFgwE, yao-r' T D-E� Qwsb t2Kc&\-L&m m,G 3 Lolti�4 <br /> A+.tt,hlcm m -MNZv5 5otL LM SP-S AhtD"--tANap%C-"m <br /> NcsT �N rt-1 � Lo1L1` cs,?!_T1rt �iC�l�'I' NA 4' <br /> LOCATION OF TEST HOLES ON PROPERTY of 7"AS PAGE.- 5' <br /> err(SHOW ANY WELLS AND STRUCTURES) <br /> 61 t.� Q <br /> 7' - <br /> �_� . �-n' „RCoLP�''C10 .1 8' R� <br /> MAS Vim. Lac-^-TxoraS c51p <br /> o L ISM ot4 TEST t4 OLS 4(:jS M A Z AN <br /> co atnV <br /> z6 <br /> ' NO. AZ <br /> TEST HOLE #1 f3Z TEST HOLE #B B2 <br /> IM READI'NG WATER DROP" REFILLED TIME READING WATER DROP11REFILLED <br /> ---------------- <br /> o � cs t3-=Y4N.t> <br /> E.XCAVA- o -ro C \!Ka `rte A h <br /> or Z 2 -CEI N J> c 4` -(D e <br /> W PTE-e. 7-ttic u h,% qty NT (eL) talo Ehl Cou <br /> f= e),M ��O 114 MAXS } <br /> ca P cr3LA l �T H - f <br /> Hoc. p. A Z - -a�;' i <br /> v . <br /> P R 0 LY` S-7-F L> P" cOL TIO <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> No R�cc5M1� r1DfiTIA� , NO RECd�+t��i.1�l��to <br /> TEST PERFORMED BY: TEST CERTIFIED BYE <br /> OBSERVED BY (SANITARIAN) ,(, (R.C.E. #) 145 <br /> EH -13 11 <br />