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ADDRESS OR <br /> OWNER rc A t-P4 –r—, mA-+y _ <br /> PLICATION NO . DATE �ZZ b L _ SOIL PROFILE <br /> ( IF REQUIRED) <br /> DEPTH TO FIRST WATER: SIZE OF BORING : <br /> SOIL TYPE : <br /> 2 ' <br /> REMARKS : <br /> LOCATION OF TEST HOLES (SHOW WELLS & STRUCTURES) 3 ' <br /> 4 ' <br /> u G44-77&10 A-a.&4.0# 61AJ fiLV +z <br /> 6 ' <br /> 7 ' <br /> - 3 • <br /> A . <br /> JTY z <br /> TEST HOLE #1 TEST HOLE !$2 <br /> TIME READING WATER DROP REFILLED I TIME READING WATER DROP REFILLED <br /> 5-a" .4&r- <br /> 00 z ` $ jrq <br /> q:fJ 3 .g �1 _,xarr L <br /> r <br /> PERCOLATION RATE: PERCOLATION' ATE: <br /> j <br /> RECOMMENDED SEPTIC'` AREA: <br /> RECOMMENPE AREA <br /> :, - -- <br /> 0EST PERFORMED BY: <br /> TEST CERTIFIED BY : <br /> OBSERVED BY (SANITARIAN) ��� <br />