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OWNLR Hi ]Iord Knot) � <br /> --- —_ 903 ADURLS� OR LUCA? I ON 2!'1!t N, $rueticx Rd <br /> P.M. or S. NUMBER:—L-.A'.-q-o&6_-!�, DATE: <br /> DEPTH TO FIRST WATER SOIL PROFILE <br /> _-_ — _ SIZE OF HOLE: 6"prx ,3'De�,0 ( IF REQUIRED <br /> SOIL TYPE: W l 1 ' --- <br /> REMARKS: 2' <br /> —9—c mow maw 3' <br /> 2a 4 <br /> Z o LOCATION OF TEST HOLES ON PROPER-pNVIRONMENTAL HEALTH 5' <br /> ; a (SHOW ANY WELLS AND STRUCTURES) PERMIT/SERVICES 6t <br /> 7 <br /> At <br /> , Na, ra o,C.Oad or aCaM da dd Caa PdS - ,�„ f <br /> 2/1 <br /> bRR!f[ I ......lei IT15r <br /> Q <br /> .,ra,6aD Daea eiWf_ V v Irrlt, aOAd <br /> - I SrlE- <br /> 5 ; <br /> /t5 ➢40d � <br /> ,eDv <br /> :4Q1?19 f J.P.SFgpa <br /> rrtl,Vrl1' ,h RD <br /> rit10E <br /> RGAMP4_Rpgp ` <br /> 8 G/N 24 lvi pRE SOrGK OEM; <br /> s:oo,vM. TEST HOLE #1 TEST HOLE #2 <br /> I IME REA!T]—f��IR R ILL IM R ADI WADER DRO R ILLED <br /> atGn�r�sr: <br /> 3D 2`-4 �B"p7'! OBS�.pY� <br /> 8 00 AM. <br /> S <br /> 5?3D 2'-4%¢n �» 2r-4•V4 <br /> .ID:DD 2'-g�/6a f/6„ 21_ 3"�6a o <br /> i <br /> P.4D 2,-4�/6 314„ <br /> 2`-4 j6„ 7�8„ <br /> T l2 OD 2'-4 %9 H �3�/6" END rEs7 <br /> PERCOLATION RATE: PERCOLATION RATE:SEWAGE DISPOSAL AREA: v0- <br /> DED SEWAGE DISPOSAL AREA: <br /> TEST PERFORMED BY: sw SvEss TFST CE FIED BY* <br /> OBSERVED BY. (SANITARIAN)—,(fes _.. ; No. <br /> Exp,3.4f3C.E R-S. <br /> �sr. CIVIL --- <br />