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ADDRESS OR LOCATION: Z t 5 O ` . APN: Zo 61 — jSC o — o �— <br /> OWNER: DATE:,3_ �U <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOILTYPE: <br /> 4 hour test 1 hour test <br /> REMARKS: 30/(12 Last Water Drop) 10/(12'Last Water Drop) <br /> Deep less than or=30 minlin <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) a Shallow less than or=60mirdin <br /> L <br /> SOIL PROFILE (IF REQUIRED) Pk' <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> L , <br /> TEST HOLE #1 DIAMETER: in DEPTH: ytx TEST HOLE #2 DIAMETER: In DEPTH: In <br /> WATER <br /> TIME READING WATER DROP REFFILLED TIME READING DROP REFFILLED <br /> IL <br /> 6. c �� <br /> r � <br /> v, <br /> � r010 <br /> i � vv 10 0110 —� <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> s <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: �� " r ' ' t ` Phone:�)_�" -�'L�- 166 Date: <br /> TEST CERIFIED BY: N Phone: 367-3764 Date: (-(-7-0(-,) <br /> OBSERVED BY (RENS =� Phone Date: O� <br /> EHD 42-02-003 PERC TEST RATE FORM I c <br /> REVISED 5/7/02 <br />