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ADDRESS OR LOCATION <br /> OWNER e�l <br /> APPLICATION NO. l9 DATE .//� -- ,,? SOIL PROFILE <br /> DEEB HH TO FIRST WATER: SIZE OF BORING : ( IF REQUIRED) <br /> SOIL TYPE :b�P/_,- /f <br /> 2 ' <br /> REMARKS : =- <br /> LOCATION OF TEST HOLES ( SHOW WELLS & STRUCTURES) 3 ' <br /> LL 4 ' <br /> ,jc�� ��T4C� ��l �Y7Gl�'' �o r fOG� i b✓I Gr <br /> 5' <br /> J�r/G o�ir 1'iD r7 s 1 ,�jf o fps <br /> 6 ' <br /> 7 ' <br /> 8 ' <br /> 9 ' <br /> 10 ' <br /> 4� TEST HOLE #1 ;q�,.��/ , TEST HOLE #2 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> J -2 <br /> PERCOLATION RATE : PERCOLATION RATE : 361 <br /> RECOMMENDED SEPTIC AREA : . RECOMME11DED SEPTIC AREA : <br /> TEST tERFORMED LAY : <br /> TEST CERTIFIED BY : — <br /> OBSERVED <br /> Y : VOBSERVED BY ( SANITARIAN) � li -L -57 <br /> EH 05 11 <br />