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ADDRESS OR LOCATION: 28567 State Route 120 APN: 229-170-37 <br /> OWNER: Gerard Van de Poi DATE: <br /> APPLICATION #: PA-03-602 DEPTH TO FIRST WATER: ft SOILTYPE: <br /> REMARKS: Parcel <br /> r <br /> LOCATION OF TEST HOLES.(SHOW WELLS AND STRUCTURES) :. <br /> i <br /> R <br /> _ <br /> r <br /> _ r <br /> .. ( v <br /> SOIL PROFILE(IF REQUIRED) <br /> i <br /> Depth Soil Type Depth Soil Type Depth Soil Tpe De th Soil T e De th Soil P ',:e <br /> 2 ?� <br /> TEST HOLE#1 DIAMETER: in DEPTH: Wil`ilii TEST HOLE#2 DIAMETER: in DEPTH: in <br /> WATER WATER <br /> on TIME READING DROP REFFILLED TIME REA1j0fNG DROP REFFILLED <br /> t <br /> of b 2, T t)0 <br /> 00 <br /> i <br /> y <br /> i <br /> PERCOLATION RATE: 2 min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED B✓ ��--Phone: Date: S — <br /> v 2 <br /> TEST CERIFIED BY. Phone: J��` Date: <br /> OBSERVED BY( HS): Phone: Date: <br /> EHD 42-02-003 PERC TEST RATE FORM 1 c <br /> REVISED 5n!02 <br /> r <br />