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AVN: <br /> OWNER: 7,)/41// D LA6701-2`.. DATE: /10 S, 2-0,0+ <br /> APPLICATION #: PA -0 3 57° DEPTH TO FIRST WATER: ti Z ft SOIL TYPE: 5'/<7y 5A N0 /511 <br /> REMARKS: No TE / : AFF4w,FA/cEVO/EJf LI£VAT/t7n(5 4?0/Vo-r A4ATcH SO,t SLIRfA-CZ- ELEVAT/oA 5- <br /> Nor, L ; SA n// 7AA/A A/ W,45 D--LAyX0 Foe LA5r )ej-=A PiNy <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> i <br /> SOIL PROFILE (IF REQUIRED) /�7# 3 <br /> [o <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> '0- 24 " D2/K .¢ 547fA 0 5M -2 DR{C i2N Srcr, SA S/"1 <br /> 2 2 " G/ r n/5e� 7 N L/ T^ S,c7 s+ <br /> TES OLE#1 DIAMETER: 9. 5- ID DEPTH: _ Z In TEST HOLE#2 DIAMETER: �7• 5- In DEPTH: 4Z In <br /> TIME READING WATER I DROP REFILLED TIME READING WATER DROP REFILLED <br /> g: Od .f• q / -- 0 ., // ' — <br /> S, 3 . ID' , / // x}. 44` -4Z SOS / 7g " • 33 / <br /> 9rO7 q / G : / Z 117' 7 ' 4 .3 <br /> ' 4 2 -1- 30, <br /> /0-- /Z 4.93 ' 7,(0 " 4. 3o ( <br /> /0. 4z q . 92 ' 7 <br /> -09 4- 16 l 'r l • 12 .fir 00 ' <br /> -1, g9' 73 <br /> PERCOLATION RATE: ( i min/in PERCOLATION RATE: 41 ( min/in <br /> RECOMMENDED SEPTIC AREA: (pvr,N ENT ON,5 RECOMMENDED SEPTIC AREA:Co vnNCEyr oN sE aero : <br /> TEST PERFORMED BY: Phone: /vG S- /QOM— Date �S-Di <br /> TEST CERTIFIED BY: Phone: �/o�_/�Jp� Date <br /> OBSERVED BY REHS Phone i �l Date <br /> EHD 42-02-003 PERC TEST RATE FORM <br /> REVISED 5/7/02 <br />