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bADDRESS OR LOCATION: (A Z/0 sc, 1 I o n '--WA P N: <br /> )WNER:- C-j ei(-a,r c Vao dr, Pb I DATE: <br /> APPLICATION#: DEPTH TO FIRST WATER:-- ft SOIL TYPE: <br /> "EMARKS:— 'parce-t 2 <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> 4L <br /> SOIL PROFILE (IF REQUIRED) <br /> —5—epth Soil T e De th Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> TEST HOLE#1 DIAMETER: in DEPTH: TEST HOLE#2 DIAMETER: in DEPTH: in <br /> TIME READING WATER REFILLED TiNIE READING WATER REFILLED <br /> 60 DROP DROP <br /> 8 oc(2- <br /> 6-0 <br /> DD Dy-iAD. <br /> 3 . 50, (0 E5 rz <br /> CC) 24, <br /> + <br /> D,,2� <br /> PERCOLATION RATE: min/in PERCOLATION RATE: nun/in <br /> RECOMNIENDED SEPTI A: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date-jjzo/(5t-,-) <br /> TEST CERTIFIED BY: Phone: Date IL v�J <br /> OBSERVED BY(REHS): Phone Date <br /> 'm-EHD 42-02-003 <br /> PERC TEST RATE FORMIc <br /> REVISED 5/7102 22- <br />