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ADDRESS OR LOCATI�`,N <br /> ti <br /> OWNER <br /> APPLICATION NO . DATE SOIL PROFILE <br /> , c ( IF REQUIRED) <br /> DEPTH TO FIRST WATER : SIZE OF BORING : <br /> 1 • <br /> SOIL TYPE : <br /> 2 • <br /> REMARKS : <br /> LOCATION OF TEST HOLES (SHOW WELLS & STRUCTURES) 3 ' <br /> 4 ' <br /> -IL—;& O <br /> PI <br /> 7 • <br /> - a • <br /> /J� s • <br /> 10 ' <br /> '(OL ' 3 TEST HOLE u1 'rO� �' TEST HOLE #2 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> STAAr IDOS U -3 Ll S R� <br /> 101/0 01- 717 : a G AID 1,035 y 5'3 , .z/ 1410 <br /> -31 /f 3 `I yes .»s 1106 tel_ 11 ?7 a <<l /yar <br /> Ki/63, <br /> . l s ,vo ;;3�01983 g 3g e /73 , 4z No /'90 Ll, S3S / a YeS1.2U /338,/vag 4, sp 1 0 17 res/y,,y <br /> Aft <br /> 3 s rl �N <br /> PERCOLATION RATE : �$ ^� P�I�C()LAT I ON RATE ---- <br /> RECOMMENDED <br /> ATE : --RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA : — <br /> TEST PERFORMED BY : <br /> TEST CERTIFIED BY : <br /> OBSERVED BY (SANITARIAN ) y��2 �•3a3�/j1 <br /> rtr n� t t �/_ _ (/ <br />