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Z A- DC-ej4A14-jC-,0 j0-C-AnAf6LQffiff <br /> DORESS OR LOCATION: -PAQ4C-L , APN: <br /> FWNER: ffC)UW DATE:1 311,4 <br /> PPLICATION 9: 1�1f-00�71bqlf DEPTH TO FIRST WATER: Z'24// ft SOIL TYPE: -5,.9 <br /> FEMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES1, <br /> F., <br /> I I I I i i I I I 11 I i I I I I � ! I I i i I I ! I I } E i <br /> t l l l l l � � � I M I i j i I ! � I I i I I I i I I I l i <br /> ?IL PROFILE (IF REQUIRED) Death Soil T,/ce <br /> Death Soil Type Depth Soil Tyee Death Soil Type Death I Soil T ype <br /> ETER: Z- in DEPTH: in <br /> :-ST HOLE#1 DIAMETER: in DEPTH: qZ," in TEST HOLE#2 MAM <br /> WATER REFILLED <br /> WATER ]REFILLED TwE READING DROP <br /> F,7T IE READING <br /> DROP <br /> 2'.C2 <br /> 50 <br /> ,00 <br /> 3 <br /> F�o 30 10 0 <br /> 0(0 0 . <br /> /1 : 30 -3. 01 0, <br /> 0 <br /> —oo 01 <br /> F1 <br /> t-PERCOLATION RATE: miniin PERCOLATION RATE: min/in <br /> FRECOMMENDED SEPTIC AREA; RECOMMENDED SEPTIC AREA:__—� <br /> F, <br /> rEsT PERFORMED BY: <br /> Phone- 7-0el') Date all <br /> TEST CERTIFIED BY: Phone: Date <br /> IAP Phone Date--Z� 2- <br /> OBSERVED BY(REHS): PF-RC TEST RATT-:FORMIC <br /> Fyy <br /> MID42-01.003 3 <br />