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09/07/2001 10:36 6842627''x; OBRIENICLAYBAR PAGE 09 <br /> ADDRESS OR LOCAT I CSN— <br /> u <br /> OWNER <br /> APPLICATION NO. DATE " � SOIL PROFILE <br /> (IF REQUIRED) <br /> DEPTH TO FIRST WATER: SIDE OF BORING:son TYPE: <br /> �_ 1r <br /> 2' <br /> REMARKS <br /> LOCATION OF TEST HOLES (SHOW WELD & <br /> STRUCTURES) 3' <br /> 4' <br /> 5' <br /> 7 <br />' � 9 <br /> s <br /> 'TEST HOLE d TEST HOLE <br />' TIME RRAW NG WATER DROP REFILLED TIME READIR'G WATER DROP REFILLED <br /> k <br /> R <br /> PERCOLATION RATE: PERCOLATION RATE- <br /> RECOMMENDED SEPTIC AREA- RECOMMENDED SEPTIC AREA- <br /> TEST PERFORMED 8Y: <br /> 62<2-tti�j- <br /> TEST CERTIFIED BY : <br /> OBSERVED BY (SANTTAalAN) <br /> E <br />