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ADERESS OR LOCATION <br /> OWNER P' /c tr t -- <br /> APPL:CATION NO . 1175 �� " 22? --DATE i —�� SOIL PROFILE <br /> ( IF REQUIRED) <br /> DEPTH TO FIRST WATER - C--',— /2o SIZE OF BORING : <br /> SOIL TYPE : 1 0 +r� <br /> 2 <br /> REMARKS : <br /> LOCATION OF TEST HOLES ( SHOW WELLS & STRUCTURES) 3 ' <br /> 5 ' <br /> 7 ' <br /> 8 ' <br /> 10 ' <br /> TEST 01 TEST HOLE 02 <br /> TIME READING , WATER DROP , REFILLED TIME READINGhiATER DROP REFILLED <br /> o <br /> 31 <br /> TO <br /> PERCOLATION RATE : 3v ' +^' PERCOLATION RATE : <br /> RECOMt':ENDED SEPTIC AREA : 00 f'1 , RECOLINEUDED SEPTIC AREA : <br /> TEST PERFORMED BY : 14�, z- � <br /> TEST CERTIFIED BY : #11""4 o. <br /> OBSERVED BY ( SANITARIAN ) ?-�G <br /> Fi{ M I1 <br />