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OWNER: Q/ // DATE: /O v v <br /> APPLICATION #: DEPTH TO FIRST WATER: (�. 0� it SOILTYPE: <br /> REMARKS: (� �' ,2t1 at 2 Lmrtesl <br /> ` 901(12'LastN'ater Drop) 101(12'Lasl Waver Drool <br /> Oeepleee than or=30 miNm <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) g S�I�Ie:mann <br /> r <br /> r - <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil T e Depth Soil Type Depth Soil T pe De th SoiIT pe <br /> TEST HOLE#1 DIAMETER: in DEPTH: in TEST HOLE#2 DIAMETER: In DEPTH: In <br /> r TIME READING A PR REFFILLED TIME READING ATTER REFFILLED <br /> DROP <br /> 00a <br /> ti o Sl `16 <br /> I <br /> OD <br /> 1136 ob b 1 <br /> AOD 6. 00 <br /> �j 102- <br /> PERCOLATION <br /> OZPERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPT AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: � Phone: Date: / <br /> TEST CERIFIEDEI Y' I Phone: :5(e Date: <br /> Date: <br /> / <br /> OBSERVED BY (REHS): .( honer% Date: Id A6 <br /> ly EHD 42-02-003 PERC TEST RATE FORM1c <br /> REVISED 5n102 r <br /> L <br />