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DDRESS OR LOCATION: 12-08( 1✓w , . JACK -gD . APN: 06,3— Z70- -70 <br /> WNER: RUGestt K-A-1.7.4e/i44 DATE: <br /> — PPLICATION pq-o3 — 1(c' DEPTH TO FIRST WATER: It SOIL TYPE: Lot�M �F v2vo Cay <br /> — EMARKS: No W16WS02 577zjc-a)Q61 W177414 167p' g,40luS ; TY60 /'b.CS C,6vDIT7orJ A -rrG',z <br /> 2 y oAK w cwa DF y <br /> LOCATION OF TEST HOLES SNOW WELLS AND STRUCTURES <br /> li i I lil illi - li II � � <br /> I I I <br /> 1 III . III D <br /> I I iillll ! III I li I ! II liil ': I <br /> -- i I lilillllll II I ' I I IIID III II <br /> SIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type I Oeoth I Soil Type I Depth I Sail TYP2 Deoth Soil Tvoe <br /> I I <br /> I I I <br /> I I I <br /> _ST HOLE#1 DIAMETER: in DEPTH: in TEST HOLE#2 DIAMETER: in DEPTH: VZ in <br /> WATER WATER <br /> — TIME READING DROP REFILLED TIME READING DROP RgFILLED <br /> 00 2 ,35 - — 8 : 03 Z. 30 — <br /> $% 30 2 G - . 2-5 8 ' 33 2 1/6> <br /> 9' 00 2- _7Z — . l2 9. 03 2 5y - , o$ <br /> _ 9 30 Z ?�( <br /> _ , 05 9 33 2. 63 — , o`i <br /> /o : oo Z • 8a - , 08 /o 03 2.70 - , 07 <br /> Z .� Is - oio Z • So /0 ' 33 2� 74�, <br /> //' 00 2,�1 _I 11 /) . 03 2. 5¢ - . o4 <br /> - <br /> 11 - 3o 2 .7< — ,lq /1 . 33 2.6f <br /> — /Z 00 2 $b ► ( 12.'03 <br /> —PERCOLATION RATE: "22'-7 miniin PERCOLATION RATE: Af min/in <br /> .RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFOR.NIED BY - /tet l �` -Phone: <br /> (ZcJ9) 3�l`f'- 6613 Date <br /> �� <br /> —TECERTIFIED Y: --Phone: Date <br /> -- �� Phone'­` •�'� �'G-�'L�-s Date <br /> OBSERVED BY v <br /> y�� --�}--�—«--" ��' <br /> I PERC TEST RATC FORMIc <br /> —EIID42-01-003 <br /> REVISED Sn2002 <br />