Laserfiche WebLink
ADDRESS OR LOCAI IUN: r r' <br /> LOWNER: dh�q DATE: / � — 07 <br /> LAPPLICATION#: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> REMARKS: / <br /> ` LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES <br /> I � � <br /> i t <br /> I i 11 j l <br /> I <br /> SOIL PROFILE(IF REQUIRED) <br /> De th Soil Type De th Soil T e De th Soil T e De th Soil T e De th Soil T e <br /> I ` <br /> TEST HOLE#1 DIAMETER: in DEPTH:_in TEST HOLE#2 DIAMETER:_In DEPTH` //t�/ in <br /> TIME READING WATER REFILLED TIbIE READING WATER REFILLED <br /> DROP DROP <br /> OA-- / <br /> L/$ / , t� � ,lS <br /> PH <br /> 0W 5� � • I `7 D D v /:oo '/s,0,55, <br /> 115 <br /> � � 3 • 1 `7 — /�� �z 1127 �/3� <br /> �r e 13 ,a 7 g Ing <br /> B / � <br /> PERCOLATION RATE: �S—rte min/in PERCOLATION RATE: 7 min/in <br /> RECObL-vIENDED SEPTI A: RECOMIi IENDED SEPTIC AREA: <br /> LTEST PERFORVIEDBY: Phone:;ZJO --g (wz� Date -.2 -5�-O7 <br /> TEST CERTIFIED BY: Phone: 397 -3 7 o) Date a <br /> LOBSERVED BY(RENS a Phone Date ;2-3 O <br /> EPID 42-02-003 PERC TEST RATE FORMIC <br /> L <br /> REVISED 5n/o1 <br />