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ADDRESS OR LOCATION <br /> OWNER <br /> II/ry <br /> rAPPLICATION N0. ATE t V� � SOIL PROFILE <br /> (IF REQUIRED) <br /> DEPTH TO FIRST WATER: SIZE OF BORING:. , <br /> SOIL TYPE: - <br /> :� 2 j <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOO WELLS & STRUCTURES) 3 ' <br /> 4' <br /> F5 <br /> 6' <br /> 7' <br /> .� Cp 10• <br /> TEST H�L,E #1 �� 12. �" TEST HO ,E <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> a � <br /> o5 I <br /> ERCOLATION RATE : ' � ` tx�{ PERCOLATION ' RATE: <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA,Ilk <br />' FTEST PERFORMED BY : <br /> TEST CERTIFIED BY : <br /> FOBSERVED BY (SANITARIAN) <br /> _ 6 --6 <br /> 4 <br /> 1H 05 11 <br />