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OWNER: ,r \ 1\c �C'� -k Z_— — DATE: /0 <br /> APPLICATION #: DEPTH TO FIR T WATER: ft SOILTYPE: <br /> 4 hour test 1hour test <br /> ` REMARKS: n (� 301(12•Last wafer Drop) 10 t)13•Laslwate orop) <br /> Deep less than or=30 mid'm <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) a shallox le:ma o=wmuJn <br /> L <br /> SOIL PROFILE (IF REQUIRED) y.ec <br /> r_D_e_Pt_h7SoiITvpe Depth Soil T e Depth Soil Type Depth Soil Type Depth SoilType <br /> r.e 2 <br /> TEST HOLE#1 DIAMETER: In DEPTH: in TEST HOLE #2 DIAMETER: In DEPTH: in <br /> ` TIME READING WATER <br /> RREFFILLED TIME READING ATTER REFFILLED <br /> DROP DRop <br /> yE� , o2- <br /> /fig , o -� <br /> 6. <br /> Le 73 � of <br /> l O <br /> c i <br /> 6' PERCOLATION RATE: Z min/in PERCOLATION RATE: mm/in <br /> RECOMMENDED SEP AREA: RECOMMENDED SEPTIC AREA: <br /> ` 1 <br /> TEST PERFORMED BY: `• Phone: Date:/&l Z 7'46 <br /> TEST CERIFIED BY' Phone: 7370 ( Date: (( -(6 - C76 <br /> OBSERVED BY(REH one: "J rjS3 741& Date:< e) 7 �t- <br /> Ir EHD 42-02-003 7 PERC TEST RATE FORM1. <br /> REVISED 5/7/02 r <br />