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09/07/2001 10:96 GB42627 DERIENICLAYBAR PAGE 10 <br />{ <br /> ADDRESS OR LOCATION <br /> i <br /> OWNER <br /> APPLICATION NO. �ri�TE C3 od SOIL PROFILE <br /> ,. (IF REQUIRED) <br /> DEF'£R TO FIRST WATER= Z12F OF BORING: 96 <br /> SOIL TYPE <br /> 2' <br /> REMARKS: <br /> LOCATION OF TEST BOLES (SHOW WELL$ & STRUCTURES) 3 <br /> 5' <br /> 61 <br /> r 7 <br /> 8• <br /> I <br /> TEST HOLE <br /> TEST HOLE # <br /> j TIME RRADINO WAITER DROP REFILLED TIME READING WATER DROP REFILLED <br /> f - r� i� !V l 7!r-r &•ILA J7, 2.26-* <br /> 3y 17.zo <br /> '' / f y <br /> PERCOLATION RATE : - ! ^ �� PERCOLATION RATE: �.. <br /> 'RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA:`. <br /> TEST PERFORMED BY : <br />`i TEST CERTIFIED BY; <br /> OBSERVED B`1 (SAN ET.AaIAE) <br /> I1 <br /> 1 <br />