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I APN: 02t7 <br /> .- ADDRESS OR LOCATION: <br /> OWNER: ( O� ZvLDATE: <br /> APPLICATION #!� G✓- �� DEPTH TO FIRST WATER: ft SOILTYPE: <br /> 4 hour test thour lest <br /> REMARKS: FIDI� 1 30 (1z to wafer Drop) m h2 Lasc water Drop) <br /> SDeehat less Ihha or=30 minfn <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES, _, Shaoess than or=Amin4n <br /> �l <br /> SOIL PROFILE (IF REQUIRED) u Ll.tig �e' I bf 22.kg <br /> Depth Soil Type Depth Soil T e De th -SoilType Depth Soil TVpe Depth Soil T e <br /> L4 <br /> I ,�y� <br /> .� TEST HOLE #1 DIAMETER: �L-1 in DEPTH: HZ ID TEST HOLE #2 DIAMETER: '1 Ill DEPTH:-�J°-.T�/✓j in <br /> TIME READING DROP WATER REFFILLED TIME READING DROP WATER REFFILLED <br /> . q I q:02 �r Gt <br /> r-I Cr�r <br /> t7 1 9z 22.Z3 .2y <br /> 10103 X11 10'•02 TZ.3L �t3 <br /> j0'33 32 27 LO <br /> 11.00 q -Ci2 o Ii'(32 22 .E <br /> D ;t -32 z 2•`�3 �3 �� <br /> IL �� ra fi'3 l <br /> 1'2 '.32 G2 sq 0� <br /> Q 3'0 1-2 :32 -22-I-A <br /> 1 .0D �t 3 'D �\ 1 :02 22.'13 0 <br /> PERCOLATION RATE: min/in PERCOLATION RATE: 50 mimin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> _ � n <br /> TEST PERFORMED BY: (lk Phone: ?u1 'S1 t03 Date: <br /> TEST CERIFIED BY: / Phone: Date: / 0 <br /> OBSERVED BY (REHS): Phone: Date:1A--2f <br /> PERC TEST RATE FORM Ic <br /> EHD 42-02-003 <br /> — REVISED 5/7/02 <br />