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i.DDRESS 0:11 LOCATION <br /> OWNER <br /> APPLICATION NO . DATE SOIL PROFILE <br /> ( IF REQUIRED) <br /> DEPTH TO FIRST WATER : SIZE OF BORING : <br /> i " <br /> SOIL TYPE : <br /> 2 " <br /> REMARKS : <br /> LOCATION OF TEST HOLES ( SHOW WELLS & STRUCTURES ) 3 " <br /> 9 " <br /> - Il <br /> A z <br /> 9'12- <br /> 10 " <br /> TEST HOLE TEST HOLE 92 Qasi <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> Y6- <br /> 1-4 qo <br /> d-yyo �o=si 3.5- <br /> 10 q 4 50 . � o-- " 0/ <br /> /0�09 `-r- . I � y 2 b . z-7 <br /> )0�lq L4- 33 g -1._7 14.37 Iq,33 0 .21 -5 � <br /> 10 2� �6 r o 1:31 y-b2- <br /> d -31 <br /> �-3 3 .9 7 <br /> i0 `�9 `-1 d75' 0. 1 `7 X-Z 2_E <br /> PERCOLATION RATE : Lq .� ^�•��� PERCOLATION RATE - - 3 79 <br /> RECOMMENDED SEPTIC AREA : RECOMlIENDED SEPTIC AREA : <br /> TEST PERFORMED BY : <br /> TEST CERTIFIED BY : <br /> OBSERVED BY (SANITARIA ) G <br />