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ADDRESS OR LOCATION15/3 ���'� 1�i ✓ fir- /v!C./ <br /> OWNER <br /> APPLICATION NO. DATE �7-,/Jz/ SOIL PROFILE <br /> DEPTH TO FIRST WATER : 1 - � SIZE OF BORING :, '' ( IF REQUIRED) <br /> SOIL TYPE: Q -?_ /�✓ 2 2 -g ����/ L�a� '` <br /> ,D.orcE/ --(/o Z D'- Z�./.��/�2 '- 8., S.G 2 ' <br /> /1 <br /> REMARKS :�d cyc. 7le-r » le O'✓ G'uc � <br /> LOCATION OF TEST HOLES (SHOW WELLS & STRUCTURES) 3 ' <br /> 4 ' <br /> TsAJ�s. s <br /> 7 _ . <br /> 8 ' <br /> - <br /> 9 ' <br /> 10 ' <br /> TEST HOLE it1 4%"ee/- *"2- TEST HOLE #2 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> o0 <br /> d 3G Z <br /> D $ov g$4 �S" <br /> D83c 3a ` � '� t83s 21,V <br /> <z <br /> 12 7 <br /> 78 z��� l <br /> PERCOLATION RATE : . >r o PERCOLATION RATE : <br /> RECOMMENDED SEPTIC AREA : <br /> RECOI4I9EI1DED SEPTIC AREA : _ <br /> TEST tERFORMED BY : 1Ju/gir� G• / Sr�, <br /> TEST CERTIFIED BY : <br /> OBSERVED BY (SANITARIAN) S <br /> E!i 05 11 <br />