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'n <br /> a .1 <br /> ADDRESS OR LOCATIC,L4_ Lef-fV lcn _ ...... _ <br /> OWNER +'r►e� <br /> APPLICATION NO. DATE iD/6,5/o! SOIL PROFILE I <br /> I ) � <br /> DEPTH TO FIRST WATER : SIZE OF BORING,: C.� ( IF REQUIRED) <br /> i <br /> I • I <br /> SOIL TYPE : <br /> 2 ' <br /> REMARKS : <br /> LOCATION OF TEST HOLES ( SHOW WELLS & STRUCTURES ) 3 ' <br /> 4 i <br /> Q 6 <br /> C. - C 7 ' <br /> a <br /> �o - <br /> TEST HOLE TEST HOLE 01, <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 3 i <br /> ' -713,0 i 0.21 .2 CD � <br /> q37 gq )_7 0.20 <br /> 11 ;1-7 q,c.IT a �� 17. 0..2.a. <br /> lZ :q .66 0. 1-a <br /> PERCOLATION RATE: '} PC� PERCOLATION RATE: 2D.1 fIL <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: IS <br /> TEST CERTIFIED BY : <br /> OBSERVED BY (jAtiITFiRIAtr) <br />