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ADDRESS OR LOCATION: APN: C50 — —20 <br /> OWNER: -C3, ca 'e- DATE: Zp/ <br /> ti APPLICATION #: DEPTH TO FIRST WATER: #t SOILTYPE: <br /> 4hour lest 1 hour test <br /> REMARKS: 30 (12'NJ LastMterDrop) 11)(02'Lastwaterorop) <br /> Deep less than or=30 min/in <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) a Shallowlessthanor=60minTn <br /> k , <br /> w <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Tye Depth Soil Type Depth Soil Type Depth Soil Type <br /> TEST HOLE #1 DIAMETER: In DEPTH: Z 1 r e TEST HOLE#2 DIAMETER: In DEPTH: IR <br /> TIME READING WATER DROP REFFILLED TINLE READING DROP REFFILLED <br /> _ 3 2. DrS� 3d ' <br /> I�. <br /> of <br /> r <br /> 11. 3 a �1 . i d <br /> T Qty <br /> PERCOLATION RATE: �: �� � min/in PERCOLATION RATE: <br /> —min/in <br /> l <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: LOIS 3 -L;�- Date: /8 /0 <br /> TEST CERIFIED BY: Phone: 1A0 Cl - ( 7`370/ Date: "/G `06 <br /> OBSERVED BY (REHS). Phone: �j�j7j--7G�� Date: <br /> EHD 42-02-003 PERC TEST RATE FORMtc <br /> REVISED 517102 /°_ <br />