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09/07/2001 10:36 6842627 013PIENlCLAYBAR PACE 13 <br /> ADDRS o OR LOCAfiIC�i v <br /> oWNER <br /> SATE G� SOIL PROFILE <br /> APPLICATION NO• „ (IF EtEQOIREIi) <br /> DEPT{ TO FIRST WATRR; SIZE OF BORING- <br /> r <br /> soli, TYPE: 2 <br /> REMARKS: 3 <br /> LOCATION OF TEST HOLES (SHOW WELLS & STRUCTURESS <br /> sf <br /> 6• <br /> + 7i <br /> 9 <br /> $ <br /> PC(- <br /> 'TEST <br /> C(TE T HALE to $ TEST AGILE W <br /> 1 S s <br /> TIME READINGGRATER DROP REFILLED TIME READING WATER DROP ' REFILLED <br /> q (y .x 4b <br /> ;[f= 'l G` <br /> PERCOLATION RATE: - PERCOLATION RATE! •••�- <br /> RSCOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: �-�'�--- <br /> TEST CERTIFIED B'f : <br /> OBSERVED BY (SANITARIAN) <br /> k <br />