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DRESS OR LOCATION: I M2, gAVIIIF- 2D , --/APN: 105 o n40 —QI <br /> /NER: _ _ 5 DATE: —7 <br /> :ATION #: 1�-I�a DEPTH TO FIRST WATER: A I2-5 ft SOIL TYPE: loa <br /> - qtr <br /> MA <br /> RKS: <br /> j LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> Rns10 <br /> I d <br /> _ d <br /> v <br /> IIL PROFILE (IF REQUIRED) <br /> Depth Sail Type Depth I Soil Typle I Depth I Soil Type I Depth I Soil Type Depth Soil Type <br /> EST HOLE #1 DIAMETER: SID DEPTH:, in TEST HOLE 42 DIAMETER: ID DEPTH: I� <br /> up <br /> TIhIE READING WATER REFILLED TIME READING DROP 1Ft) REFnt LED <br /> >r}) DROP1t <br /> 1148aM 10.13 g.�8 Il:4oi A 3.'}`I 6 %D <br /> 12:18 yM /�'� 2.2� 10.20 la 1 1 Pei3• S�Z 6.03 <br /> 12:44 11• S3 /• l03 19-49 'o. /o <br /> 1 :w l0 20 1 :11 3. 63 0.6/ <br /> 1 :0 2,17 10.2/ It:41 3.✓� 6.61 . <br /> 2:20 /a.3lo 2,15 `!•%/ 2 1 q 3. 5 6-01 3•�I <br /> 2: ev is.3� 2 73 1.47 'L Al 3,�0 0. 17 <br /> 3.20 /a .3a 2-$3 9118 3111 3.-�4 0.64 <br /> 3: S� /1•�/ 2. /3 3'.4`( 3,-74 <br /> 0.sl /4 ; 11 3.-7zt No�� <br /> PERCOLATION RATE: 14,9 min/in PERCOLATION RATE: �-/• ��Q min/in <br /> RECOMMENDED SEPTIC AREA: n RECOMMENDED SEPTIC AREA: <br /> ST PERFORMED BY: Phone: Date <br /> TEST CERTIFIED BY: — Phone: tea]-9q8-1345 Date <br /> OBSERVED BY(REHS Phone J Date <br /> DID 42-01.003 j.•SO //Gl _ Z•�3 — �• � 3'�� / PERC TEST RATE FORMI< <br /> REVISED 5h/2002 �w _ !L-/Z _ �,$l / 4'/moi' - Z"),Z, — i <br />