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ADDRESS OR LOCATION�, `t' <br /> OWNER <br /> APPLICATION NO. DATE "` SOIL PROFILE <br /> !/ (IF REQUIRED) <br /> DEPTH TO--FIRST WATER SIZE �OF BORIN6 ,_-w�__ <br /> SOIL TYPE: 1 ' <br /> REMARKS. ,3 1 t _ _ 2' <br /> LOCATION OF TEST HOLES (SHOW WELLS & STRUCTURES) 3 ' <br /> op <br /> 5' <br /> 6 ' <br /> 7' <br /> f � 10' <br /> S rd a <br /> T <br /> 2 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 00 6 (l <br /> PERCOLATION RATE : <br /> iF PERCOLATION RATE: <br /> RECO14MENDED SEPTIC ARE : RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: <br /> TEST CERTIFIED BY: 11 <br /> OBSERVED BY (SANITARIAN) N�,� 0 - �j- Da <br /> :f1 05 11 <br />