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ADDRESS OR LOCATION: � 17�� � . .`)t,� .Qti1T APN: <br /> py <br /> OWNER: � ' [fe, (clas DATE: <br /> .. APPLICATION #: DEPTH TO FIRST WATER: It SOIL TYPE: <br /> 4 hour test 1hour lest <br /> REMARKS: 30 t)12•Last Wer Drop) 10/(12•last water Drop) <br /> deep must be less than 30 deep must be less than 30 <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) "a"-must less than so shallow must be less than 30 <br /> 23 '•,!� <br /> SOIL PROFILE (IF REQUIRED) 2� 11?n. <br /> Depth Soil Type Depth Soil Type I Depth Soil Tvpe I De th Soil Type I Depth— SoilType <br /> IF <br /> a <br /> TEST HOLE#1 DIAMETER: L4 ID DEPTH: 291 in TEST HOLE#2 DIAMETER: ID DEPTH: ID <br /> TIME READING WATER DROP REFFILLED TIME READING DROPWATER REFFILLED <br /> 23.35 '- <br /> I� .Dv <br /> I D •3C� f�� 3� 0 �.`��.. <br /> Q <br /> _ 12' 2&36 <br /> 23.37 <br /> PERCOLATION RATE. Z sp min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: 7T 1.It 1:(+ Phone: ��-1' 3 (l< Date: <br /> TEST CERIFIED BY: Phone: 36 LJ 7o/ Date: <br /> OBSERVED BY(RE S '7!a, i Phon dQ /• � °_� P)ate^//3/� /.�� <br /> EHD 42-02-003 �C., �PrCL'Y�G(f !"- G,jL�",>�rt:•`.r?'.�'2'" '°""'E'"/�%"^ C ST RATE FORM)c <br /> REVISED5/7/02 i <br />