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ADDRESS OR LOCATION— <br /> OWNER- Alr <br /> OCATIONOWNER-a / rCK I L.Qur(A l " I a/-z)1) 1 <br /> s APPLICATION NO. MS l? DATE 9 / S - qY SOIL PROFILE <br /> ' - <br /> DEPTH TO FIRST WATER:' ( IF REQUIRED)O SIZE OF BORING:� _ <br /> SOIL TYPE : T_ �, n e S o n 0/y �oom 1 ' <br /> 2 ' <br /> REMARKS : <br /> LOCATION OF TEST HOLES (SHOW WELLS & STRUCTURES) 3 ' <br /> ►3ru e //ct <br /> a 5 ' <br /> 6 ' <br /> 7 ' <br /> ® 8 ' <br /> 10 ' <br /> TEST HOLE i3 J TEST HOLE t3 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> g, 3) — <br /> $ . <br /> 9, 00 <br /> PERCOLATION RATE : - 0 rn ��C h PERCOLATION RATE : 13 . 3 MO ,/plc !, <br /> RECOMMENDED SEPTIC AREA: r� ,f �JRECIO1MMERDED SEPTIC AREA: <br /> 'EST PERFORMED BY 31 eue 1VI�,ti��F OC C1�,S, <br /> TEST CERTIFIED BY : <br /> OBSERVED BY (SANITARIAN) <br /> n4 nr, i i <br />