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OWNER:__.. l�(/tC� � l✓ i- �� DATE: r <br /> APPLICATION #: DEPTH TO FIRST WATER; it SOIL TYPE: <br /> 4 hour lest 1 hour test <br /> REMARK& sal{12 Last WalarOropl 1011,12'Last WalerDrop) <br /> Deep Vass than or=30 rnmhk <br /> LOCATION OF TEST HOLES (SNOW WELLS AND STRUCTURES) Shallow less manor-60milin <br /> 0 <br /> 1 <br /> a SOIL PROFILE (IF REQUIRED) <br /> tF!7Depth Sail TypeDepth Soil Type Depth Soil Type Depth Soil Ty e Depth Soil Type <br /> TEST HOLE##1 DIAMETER: ZL,_in DEPTH: 3.�� TEST HOLE f#2 DIAMETER: in DEPTH: in <br /> TIME READING WATER REFFILLED TmE READING WATER REFFMLED <br /> DROP DROP <br /> /000 <br /> 0, 30 -�t y . �5-zl y, �1 <br /> ZZ � <br /> 0 2- <br /> PERCOLATION BATF: / min/in PERCOLATION RATE: mul/�n <br /> RECOMMENDED SEP AREA: RECOMMENDED SEPTIC AREA: �j <br /> - TEST PERFORMED BY: r Phone: ( '�fi3 7r Date:_Z � ^� D7 <br /> TEST CERIFIED B Phone: 7 ��' Date: <br /> OBSERVED BY (RI HS): Phone: 4�6 a' `� Z Date: 3 C777 <br /> 1 FERC TEST RATE FORMIC <br /> EID 42-02-003 <br /> REVISED 517102 r <br />