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4DDRESS OR LOCATION: C �o 34 o 0,PN: Oeff- <br /> OWNER: DATE: c -IU 'UC <br /> t <br /> `,APPLICATION #: I { ! DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> REMARKS: l 0 S b <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> t <br /> 44 <br /> —SOIL PROFILE (IF REQUIRED) <br /> De th Soil Type Depth Soil T e Depth Soil Ty e Depth Soil Tye -beloth Soil Type <br /> TEST HOLE #1 DIAMETER: In DEPTH: in TEST HOLE #2 DIAMETER: In DEPTH: ID <br /> .. WATER WATER <br /> TIME READING DROP REFFILLED TIME READING DROP REFFILLED <br /> sr , ;ur, 5'. 70 lb ; to 71 SS 0, ;?,a �L;►, <br /> 019 0 , ac, 5, -73' O��° A-7 . p, f 9 ;L-1, <br /> oa o . ao �rj 70 a', s9 0 , :Zo 'a-71 3S <br /> 19 o . a I S*t 73 a-7 t,573 0A{ $ ;L-1 . 37 <br /> 7;L Ja to 2 al-7170 <br /> -7 c2-7, zle PIIS' 2-7, ys <br /> r <br /> PERCOLATION RATE: �QC�-� min/in PERCOLATION RATE: IFKe75 min/in <br /> RECOMMENDED SEPT AREA: RECOMMENDED <br /> /SEPTIC AREA: // <br /> TEST PERFORMED B . Phone: �0 0 /b Date: e� t -6� <br /> TEST CERIFIED B Phone: 7 7�7(� / Date: r� <br /> OBSERVED BY(REHS): n + Phone: .7 1 Date: C/' —ZO`m 6— <br /> EHD 42-02-003 U/� –� 7 ' 7-� i� -7-3 PERC TEST RATE FORM Ic <br /> REVISED 5/7/02 •+"-�� �' �L"CV J / ry,�f��U. l;- :v_�' <br /> �' ( . /'G !o.l1Z U•7!- �vl 1 ' Iv <br />