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` ADDRESS OR LOCATION: I I.�,�U r , JCI tCIy11 K1Y . �L1lN �^U, C APN: <br /> OWNER: Mo(d 6n's DATE: I3-2g <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL (TYPE: <br /> REMARKS: LD! I (ShG1I�uJ) LiA 2 Ly1 cJ, It , , <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> i <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth SoIlType Depth SoilType Depth Soil Tye Depth Soil Type I Depth Soil T e <br /> TEST HOLE #t DIAMETER: Li ID DEPTH: H_ In TEST HOLE#2 DIAMETER: l� In DEPTH: (42- ID <br /> TIME READING WATER DROP REFFILLED TIME READING WATER DROP REFFILLED <br /> 5.011 <br /> 1o' IDD C�.03 ,s`� 5.21 lo'.�K� ��� - LO y. 3 <br /> �c <br /> 1P <br /> r2- �v S.LVl HL 493 <br /> S, g (2 -.35 5.3Fs 9y5 �I .�tl� <br /> d <br /> =,3..3 CA - O <br /> PERCOLATION TE: Z . min/in PERCOLATION RATE: 2 mini <br /> RECOMMENDED PTIC AREA: RECOMMENDED SEPTIC AREA: <br /> in <br /> ` TEST PERFORMED BY: '^a� Phone: II i 7'�,��J Date: <br /> TEST CERIF BY: Phone: 7 Date: <br /> OBSERVEDB REHS r—�. Phone: y���y-54 Date: <br /> EHD 42-02-003 PERC TEST RATE FORMIc <br /> REVISED 517/02 <br />