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kDDRESS OR LOCATION:_2L/�L-j Iv, iviacm(m. TO APN: ()cn— Ifu—C)T <br /> )WNER: '%dATE: (k115i0+ <br /> kPPLICATION#: DEPTH TO FIRST WATER: ft SOILTYPE: <br /> ZEMARKS: <br /> S1rUL <br /> UJ4 1'50 <br /> TEST OF <br /> LOCATION HOLES (SHOW WELLS AND STRUCTURES <br /> N! TEST T 1 <br /> L 4_1 <br /> OIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil T Dec-th Soil T 71 <br /> HST HOLE#1 DIAMETER: in DEPTH:3-0il Jim TEST HOLE#2 DIAMETER: (0 in DEPTH:(y-455 in <br /> TwF READING WATER REFILLED TIME READING NATER REFILLED <br /> DROP DROP <br /> Dry <br /> .2,5+ 95 o.0Q <br /> 0 .01 D . 04- <br /> 1:3-9& C) .05 <br /> �2 <br /> �0-15 2- fon Q , 00 /_,q*( 14, 00 <br /> 2ry 15 (0c) n o --L,L <br /> 'ERCOLATION RATE: min/in PERCOLATION RATE: VW vVl,.5,e� G,; —minlin <br /> iECONLNIENDED SEPTIC A, e RECOMMENDED SEPTIC AREA: <br /> [EST PERFORMED BY: Phone&/a�—�701 Date- <br /> LEST CERTIFIED BY: Phone: �ls -370 1 Date <br /> OBSERVED BY(RE Date <br /> O <br /> ,HD 42-02-003 PERC TEST RATE FOWIc <br /> tEVISED 97/021 cl� <br />