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ri <br /> PERCOLATION TEST <br /> OWNER: ADDRESS OR LOCATION: CO PA �T[A Rk <br /> P.M.or S.TtiLFMBER: DATE: Ujs-/Q t SOIL PROFILE <br /> DEPTH TO FIRST WATER: SIZE OF HOLE: (IF REQUIRED) <br /> 1' <br /> SOIL TYPE: Z <br /> 3' <br /> REMARKS: S, <br /> 6- <br /> 7 <br /> 8' <br /> 9' <br /> LOCATION OF TEST HOLES ON PROPERTY ED' <br /> SHOW ANY WELLS AND STRUCTURES) <br /> F> <br /> S K.au- ► V a4 J V <br /> (Z3) TEST HOLE # 1 9 TEST HOLE #2 <br /> TIME READING WATER WATER REFILL TTME READLVG WATER WATER REFILL <br /> DROP' DROP" DROP' DROP" <br /> 8a Z.4 <br /> g:oR �lPTY X30` ._S 8•-0� Z-�oj •� <br /> S' <br /> 'o s <br /> TOG <br /> 34 F 0 Y ,So q3• 2. JS <br /> 10--oU 42,4qoz <br /> ZS ' S3 ' <br /> .Q <br /> Pte' -f s <br /> P COLATIO RAPE: SC �y�, ; t � PERC6LATION RATE/ ' r <br /> RECON2o(EIdDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA <br /> TEST PERFORM ED BY: TEST CERTIFIED BY: <br />' d4-�Rd�Q •�y �T '7 <br /> /.,•Cay� � .meg �A7•t�7 <br />