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ADDRESS OR LOCATIyO-N 2 y �� m /7i r f�Q- _,,,o <br /> OWNER /Po <br /> APPLICATION NO . Z Z DATE /21,131 y SOIL PROFILE <br /> DEPTH TO FIRST WATER : /8"' SIZE OF BORING : LZ ( IF REQUIRED) <br /> 1 ' 11 zl <br /> SOIL TYPE : <br /> 2 !Z 22 <br /> REMARKS : <br /> LOCATION OF TEST HOLE! (SHOW WELLS & STRUCTURES ) 3 ' 13 ZJa ` <br /> 4 <br /> J <br /> ` d( <br /> 6 /d <br /> I� <br /> 10 " 2,0 <br /> h <br /> TEST HOLE 91 TEST HOLE #2 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> /Zl oO 120 /oz 3: ,30 zoo 3/ 3 S <br /> /Z :30 G 9 ,, Yy <br /> / - 30 23P zy <br /> ,tc/r'% l l X X \A/ <br /> 00 07 io <br /> Z ; 30 /Zo-1I 66 " <br /> PERCOLATION RATE : 7/ PERCOLATION RATE : <br /> RECOMMENDED SEPTIC AREA : RECOMMENDED SEPTIC AREA : <br /> TEST PERFORMED BY : `j✓ <br /> TEST CERTIFIED BY : 'Ll�"" - <br /> OBSERVED BY (SANITARIAN -� <br />