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AUUISC.7J Uh LUUAI IUIN: AH\I: <br /> ` OWNER:_ _ b kin f4✓'4 DATE: <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> 4 hour test Ihour test <br /> REMARKS: 30/(12•last WaterDrop) 1 10/(12•laslWater Drop) <br /> Deep less than or=30 miNn <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) a Shallow lessthan or_s0lot <br /> midin <br /> 05 <br /> SOIL PROFILE (IF REQUIRED)�,�, O r; 21.6s� <br /> Depth I Soil Type I Depth-1 Soil T pe I Depth I Soil Type I Depth 1 Soil Type Depth Soil T e <br /> TEST HOLE #1 DIAMETER: in DEPTH: /,3R I4f' TEST HOLE#2 DIAMETER: in DEPTH: <br /> .. TIME READING WATER DROP REFFILLED TIME READING DROPWATER REFFILLED <br /> 61,00 (, N3 / S► 7r°1 10 pr <br /> 30 5, -7 , oa. q32 t83 e -73 SS' <br /> _ `✓ 000 S', 3 <br /> Lb 3 <br /> 00 S►9 . 01 oz .2, 3► 1y <br /> 6-, 36, . 0Z /! 3; ,z.z, s0 . ;z 6 -A; . 13 <br /> X00 5% 4''7 , 0 ,:L 12. 0 (0 3 <br /> - 1�3a �, 8°► , oma- a3a ��,�) , � S --�-- <br /> PERCOLATION RATE: �t,S0 min/in PERCOLATION RATE: 9t min/in <br /> RECOMMENDED SEPTI REA: RECOMMENDED SEPTICC AREA: <br /> TEST PERFORMED BY: / Phone:9? Oq 2)(S �3 z" Date: 7���l✓b <br /> TEST CERIFIED BY: / Phone: Z6 7- Date: ; <br /> —06 <br /> OBSERVED BY(REHS): Phone: /coq 1 It _h 4,z 3 Date: li�/S /d (o <br /> — EID 42-02-003 r PERC TEST RATE FORM 1. <br /> REVISED 5/7/02 <br />