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ADDRESS OR LOCAI IUN: <br /> I-OWNER: / Q 11 G) DATE: C <br /> LAPPLICATION#: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHow WELLS AND STRUCTURES <br /> • 1 1 1 1 I I I A � ' i � <br /> SOIL PROFILE(IF REQUIRED) S z7.ryi <br /> Depth Soil Type Depth Soil Ty2e Depth Soil Type De th Soil Type Depth Soil Type <br /> TEST HOLE#1 DIAMETER; in DEPTH: in TEST HOLE#2 DIAMETER: �/ in DEPTH:, (.d in <br /> WATER `NATER <br /> TIME READING DROP REFILLED TIDIE READING DROP REFILLED <br /> 9a� y /0 04 <br /> q 3 C I t 3s3, � <br /> &/o <br /> Ia pq- o .-76 <br /> 06c <br /> PERCOLATION RATE: minlin PERCOLATION RATE: -nfin/in <br /> I u <br /> RECOINIMENDED SEPTI AREA: RECOMNIENDED SEPTIC AREA: <br /> LTEST PERFOR-MEDBY: Phone: 2�0-9092 Date �3-0� <br /> TEST CERTIFIED BY: Phone:3 L-7 -370) Date a' <br /> LOBSERVED BY(REAS): Phone ,-5 3 7YAf Date / A3 <br /> EHD 42-02-003 FERC TEST RATE FORMIC <br /> LREVISED 517102 <br />