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ADDRESS OR LOGA I IUN: �rl` <br /> LOWNER: DATE: C -7 <br /> APPLICATION DEPTH TO FIRST WATER:— ft SOIL TYPE: <br /> IVr REMARKS: 0-- J <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> 6 <br /> 777 <br /> 3 A <br /> SOIL PROFILE(IF REQUIRED) <br /> De th Soil Type Depili Soil T e Depth Soil Type Depth Soil T e De- th <br /> TEST HOLE#1 DIAMETER: __44_in DEPTH: ;,34/ in TEST HOLE#2 DIAMETER: in DEPTH:;:?/. 7 7 in <br /> WATER <br /> TIMEREADINGREADING WATER REFILLED TIME E READING REFILLED <br /> 61 01 �?5_,36- <br /> 1 OX LO d <br /> L 4 -72, 0 / <br /> /0 <br /> /Z z10 ZX, 21 01 t)rCl %C) _621 351 <br /> go <br /> L2, 01 <br /> L 61 <br /> L <br /> LPERCOLATION RATE: min/in PERCOLATION RATE: —minfin <br /> RECOW11ENDED,SEPTI AREA: RFCOMNIENDED SEPTIC AREA: <br /> LTEST PERFORMED BY: Phone: J6 g0,P._v_ - Date / --,)3 7 <br /> TEST CERTIFIED BY- Phone- 3 7 3 Date <br /> Sj <br /> OBSERVED BY(REHS): Phone Date <br /> L <br /> EIID 42-02-001 PERC TEST RATE FORN11c <br /> LREVISED 517102 <br />