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09/0712001 10:36 6842627 ©ERIENICLAY PACE 12 <br /> ADDRESS OR LOCt-.TQ <br />� OWNER <br /> APPLICATION NO._ DATE <br /> SOIL PROFILE <br />� �. .► (IFREQUIRED) <br /> TO FIBST WATER- _- — SIZE OF BORxNG � <br /> SOIL T'A'PE: 2- <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW ;ELLS & STRUCTURE—S) 3" <br /> 2a' <br /> 4. <br /> 5" <br /> 4 7 e <br /> 10' <br /> uar�C -TEST ROLE #4f e /9 '� Er TEST HOLE r� <br /> FT <br /> ME RRADING WATBR PROF REFILLED TIME READING WATER DROP REFILLED <br /> 16 <br /> 57 11 " oy- <br /> cl <br /> –:,� , <br /> PERCOLATION RATE: PERCOLATION RATE- f ! <br /> RECOMMENDED SEF'TIC AREA: RECOMMENDED SEPTIC AREA= <br /> i TEST PERFORMED SY; _� _._re_� <br /> TEST CERTIFIED BY: <br /> OBSERVED BY (SANITARIAN) '4 - <br /> r <br />