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ADDRESS OR LOCAL IUN: r r". �f <br /> LOWNER: / G,' __ DATE: / <br /> APPLICATION#: DEPTH WATER:_ ft SOIL TYPE: <br /> REMARKS: 3 <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES <br /> i <br /> ! 1 I I 1 r <br /> 1 <br /> I <br /> f <br /> SOIL PROFILE(IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil T e De th Soil T e D8th Soil T e <br /> TEST HOLE#1 DIAMETER: _4-1 in DEPTH:]F,30 in TEST HOLE#2 DIAMETER:_ r in DEPTH: -3l'S'in <br /> WATER `NATER <br /> TIME READING DROP REFILLED TIME READING DROP ` REFILLED <br /> p✓ .� 3,3 9 0A Dr �1:5-�3,:Y0 <br /> 731 <br /> a 3yg 1031 'VI-Il' • yam a31y0 <br /> �� ff�3 ,6- <br /> • 7 /00/ �ylo <br /> D . O� l3 � , yam 3, ss <br /> fro <br /> 0/ 00 <br /> I <br /> PERCOLATION RATE: L minlin PERCOLATION RATE: ' J l unn/in <br /> F <br /> 6 RECOWNIENDED SEPT AREA: RECOMbIENDED SEPTIC AREA: <br /> LTEST PERFOR-M- ED BY: Phone: 2/b'{o3L Date �� `7 <br /> TEST CERTIFIED BY- Phone: S d 7 3 7a j Date <br /> OBSERVED BY(REHS) Phone ��3 ��8 Date 3 <br /> L EHD 42-02-003 FERC TEST RATE FORMIC <br /> REVISED 5/7/02 <br /> 6o <br />