Laserfiche WebLink
FDDRESS OR LOCATION: 11376 °°"' APN: <br /> NER: �+�h'IZ TA(�pt DATE: 7 !� O <br /> PPLICATION #.• :x003Y37e0 DEPTH TO FIRST WATER: r� �� #t SOIL TYPE:F Q� <br /> ' <br /> MARKS: !V O PW! GLS yG�1J AjF-� my 1'�I� <br /> LOCATION OF TEST HOLES SHow WELLS AND STRUCTURES <br /> -,} <br /> -I I _II 14 '�• i i ,I I ! I i <br /> i <br /> j <br /> --F i I i <br /> W)IL PROFILE (IF REQUIRED) <br /> V il T e De th Soil Type Depth Soil T e Depth Soil Type <br /> Dth Sail Type Depth o <br /> 3 _ <br /> I <br /> .5T HOLE#1 DIAMETER: in DEPT: in TEST HOLE#2 DIAMETER: in DEPTH- in <br /> WATER I REFILLED-TIME READING DROPWATER <br /> TIME READING DROP <br /> -- <br /> : 30 , 4 *e . <br /> F ,03 <br /> t <br /> F�; <br /> I. <br /> I F/A � � <br /> oo <br /> r" minlin <br /> PERCOLATION RATE: SZ]O/�� AP lnlin PERCOLATION RATE: <br /> FECOMMENDED SEP'T'IC AREA: t RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMFD�: Phone: Date 3 <br /> ` <br /> FEST CERTIFIED BY: Phone: Date <br /> f <br /> OBSERVED BY(RE /Q ,l/ Phone Date <br /> mac~ PERC TEST RATE FORMIC <br /> �s?1ID42-01-003 <br /> ii..REVISED 5/7/2002 <br />