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..�DDRESS OR LOCATION: NweAPN: <br /> DATE: 1120109 <br /> OWNER: aeAr.-Ird V�,qn In <br /> 'APPLICATION #: DEPTH TO FIRST WATER:— ft SOIL TYPE: <br /> ZEMARKS: <br /> low <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> I J <br /> -if <br /> III <br /> r I <br /> `!OIL PROFILE (IF REQUIRED) <br /> Depth — Soil Type —Depth Soil Type Depth T�Soil Type Depth Soil Type Depth Soil Type <br /> 4F-ST HOLE#1 DIAMETER: in DEPTH: �.6;�in TEST HOLE#2 DIAMETER: in DEPTH: in <br /> TIME READING WATER REFILLED TIME READING WATER <br /> DROP DROP REFILLED <br /> ZZ <br /> 05 <br /> tair i,� <br /> IU f)v) D <br /> Dvq <br /> PERCOLATION RATE min/in PERCOLATION RATE: min/in <br /> .UCOM.NIENLDED SEPTIC <br /> RECONINIENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date 1 /20101 <br /> PEST CERTIFIED BY: Phone: Date <br /> INN <br /> OBSERVED BY(R-EBS): Phone Date <br /> -7 90 <br /> 6wc.HD 42-02-003 PERC TEST RATE FORlvIlc <br /> REVISED 5/7/02 <br />