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OWNER: I � T�� ria �b DATE: <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> REMARKS: � !Y[ �� 3 2hourte lhour tes p <br /> 30;Ii2'Last Water Dmp) 10112'Last Water Oro <br /> — Deep less Than or-3D miNin <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) �, ShauIp. sthener=eo T. <br /> — <br /> 1111ILL JILLI X I I I\ <br /> _ i <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth I Soil Type I Depth I Soil Tye I Depth I Soil Ty e <br /> TEST HOLE#1 DIAMETER: H In DEPTH:, in TEST HOLE #2 DIAMETER: in DEPTH: 3i0) In <br /> TIME READING WATER TTTDROP REFFILLED TIME READING ATTER REFFILLED <br /> DROP <br /> o Iy )-yo . v--7- IV16 3, 77 . 07 <br /> yis' — <br /> _ ply 3f97 J alb G/,/6/� — <br /> �, �� l/ z� aez <br /> A3, 97 Z/ 3�?, , 06 <br /> PERCOLATION RATE: �n _ m ver min/in PERCOLATION RATE: min/in <br /> C, <br /> RECOMMENDED SEPT AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: �—/I Phone: // Date:1,� �b <br /> TEST CERIFIED B Phone: Date: <br /> OBSERVED BY HS . Phoney Date: <br /> ` EfID 42-02-003 i PERC TEST RATE FORMIC <br /> REVISED 5/7/02 r <br />