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03/C6/2006 13'26 FAX �n0,1177/041� <br /> DRESS OR LOCATION: <br /> , <br /> NER: [�OrJ J lA f7!%Ln /i _ DATE:- 1��`� �Z <br /> ';ATION#: ���r DEPTH TO FIRST WATER: It SOIL TYPE: e, eI <br /> :MARKS: — <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> I I <br /> I <br /> 0 <br /> )IL PROFILE(IF REQUIRED) 1 _ <br /> De th Soh Type De th Soil T e De th Soil Type Depth S ' a De th Sof{T e <br /> :ST HOLE#1 DIAMETER: in DEPTR: _Vj=In TEST HOLE#2 DIAMETER:—,( in DEPTH: = i7 <br /> A3) ,.5,0 <br /> WATER REFILLED <br /> READINGREFILLED TIME READING DROP _ <br /> L <br /> _ <br /> log' <br /> Jte4l Irz <br /> min <br /> PERCOLATION RATE: � ' <br /> ,Q' 3nl�n PERCOLATION RATE: <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC A.REA:— <br /> ST PERFORMED BY: �ti' Phone: <br /> Date <br /> TEST CERTIFIED BY: <br /> Phone: Dale <br /> OBSERVED SY(RE Phone Date ---• <br /> FERC TEST RATE FO <br /> L-IID az-01-003 ire:yz, — 3-Sr — •�S -- 1a'`!eY _ 5.3/ _ on <br /> REVISED 577!2002 �/ /L - 3 /J <br />