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ADDRESS OR LOCATION: 28567 State Route 120 APN: 229-170-37 <br /> OWNER: Gerard Van de Pol DATE: I Z I) I L ff) <br /> APPLICATION #: PA-03-602 DEPTH TO FIRST WATER:_ ft SOIL TYPE: <br /> REMARKS: Parcel3i <br /> _ LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> +/ <br /> og <br /> Ff+ <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> U� ,qE <br /> TEST HOLE #1 DIAMETER: In DEPTH: TES HOLE #2 DIAMETER: In DEPTH: In <br /> T <br /> WATER WATER <br /> TIME READING DROP REFFiLLED II�iF READING DROP REFFILLED <br /> Y� ✓- n <br /> 0 �� I ((V-� <br /> PERCOLATION RATE: mill/ill PERCOLATION RATE: min in <br /> RECOMMENDED SEPTIC A E RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY ti \e- Phone: // Date: Ick'' G <br /> TEST CERIFIED Phone: J6 7- 3Z Date: -01), <br /> OBSERVED (REH Phone: <br /> EHD 42-02-003 PERC TEST RATE FORM I c <br /> REVISED 5/7!01- <br />