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ADDRESS OR LOCATION <br /> OWNER <br /> APPLICATION NO. DATESOIL PROFILE <br /> DEPTH TO FIRST WATER: — SIZE OF BORING: /Z, ( IF REQUIRED) <br /> Sar,�q/jiQve�' 1 ' <br /> SOIL TYPE: ha/- <br /> REMARKS : 2 <br /> LOCATION OF TEST HOLES ( SHOW WELLS & STRUCTURES) 3 ' <br /> n%s, <br /> 4 ' <br /> zoee;I. 5 - <br /> 6 '.G ' <br /> 7 ' <br /> 8 ' <br /> 9 ' <br /> 10 ' <br /> f`moi: TEST HOLE it 1 72 « TEST HOLE V2 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> i Z 4z. <br /> PERCOLATION RATE : d PERCOLATION RATE : <br /> RECOMMENDED SEPTIC AREA: RECOI'111ENDED SEPTIC AREA : <br /> TEST tERFORMED BY : <br /> TEST CERTIFIED BY : A-1 <br /> OBSERVED BY ( SANITARIAN) <br /> E!i 05 11 <br />