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APN: <br /> DDRESS OR LOCATION:— <br /> WNER: DATE: <br /> PPLICATION PA - 10 94- DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> ARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> —)IL PROFILE (IF REQUIRED) <br /> Depth Soil Type DeDth I SoEjE:e�7 Death Soil Type DeDth I Soil Type I Deoth. Soil TvDe <br /> :ST HOLE #1 DIAMETER: I in DEPTH: in TEST HOLE#2 DIAMETER: in DEPTH:_ in <br /> TiivIE READING DROP WATER W REFILLED TIME READING WADROP TER REFILLED <br /> -7 <br /> 2. Z- <br /> 2. ' <br /> Z <br /> o-5- <br /> 1 s2 <br /> 2 , <br /> —PERCOLATION RATE: A-E' minlin PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: tzi RECOMMENDED SEPTIC AREA: <br /> 13 <br /> —'LEST PERFORMED BY: Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RE�S). Phone Zl?: Date <br /> PERCTFSTRATE FOR,"lc <br /> r-]ID42-01-003 <br />