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OWNER: �� I k:� /r. DATE: <br /> V <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> � ���� q. hour test i hL test <br /> REMARKS: "EF aa�(tz•tastwa�e�o�apl tolpz•tasiweterorop) <br /> � 0eep less than or=30 minim <br /> LOCATION OF TEST HOLES (s ow WELLS AND STRUCTURES) 5ha°vx1�`""=�mwm <br /> L <br /> V <br /> L _ _ <br /> SOIL PROFILE (IF REQUIRED) 2-4-,97 y 93 <br /> L Depth Soil Tye Depth Soil Tye Depth Soil Tye Depth Soil Type Depth Soil Type <br /> 4 TEST HOLE#1 DIAMETER: 41in DEPTH,73,:R7 in TEST HOLE#2 DIAMETER: in DEPTH: In <br /> TIME READING DROPR REFFILLED TIME READING DROPR REFFILLED <br /> V <br /> 3S s,y9 — 2-O <br /> l� <br /> az I, NO 3, Gig I <br /> 3 ,2- <br /> 6- PERCOLATION RATE: �_ti /g_ min/in PERCOLATION RATE: kA-0 az a A o_ k min/in <br /> RECOMMENDED SEPTIC A: RECOMMENDED SEPTIC AREA: <br /> '- D <br /> TEST PERFORMED BY: Phone: / Date:,/e <br /> TEST CERIFIED B Phone: to - Zo Date: C,V--Lk- d <br /> r <br /> OBSERVED BY (REH a Phone: 7�s3/ $ Date: <br /> ` EIID 42-02-003 i FERC TEST RATE FORMle <br /> REVISED 5!7/02 'r <br /> 6 <br />