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ADDRESS OR LOCATION S <br /> "OWNER .Q - <br /> APPLICATION NO. q(10- -/8 DATE � � ���l SOIL PROFILE <br /> i� ( IF REQUIRED) <br /> DEPTH TO FIRST WATER: SIZE OF BORING: <br /> -- � -- <br /> SOI L TYPE:_ „ :2:g 27 'W%z C 1-=7 C,? L o 4 .1-n 1 , <br /> 2 ' <br /> REMARKS : � � ..moi . �f• �-G.a��-�j�� �-e.� 4 Se <br /> LOCATION OF TEST HOLES (SHOW WELLS & STRUCTURES) 3 ' <br /> 1 14 -� <br /> s ' <br /> 7 ' <br /> 81 <br /> 9' <br /> 10 ' -J <br /> TEST HOLE #1 TEST HOLE 02 f�Z <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> QSad � '% 3 <br /> 0,6>3 o /z Z Ile d 8-45- Z sJs <br /> 6,760 1716 z Vs 07/5 <br /> 0930 /g ,/ 116> 3 �f D 74� <br /> ) o b c 0114- 15,19 l 015 Z 7/8 3/¢ <br /> jo 30 346 <br /> M-5 54 <br /> PERCOLATION RATE: <br /> �-Z r 7/' h/.� <br /> PERCOLATION RATE: <br /> E, RECOMMENDED SEPTIC AREA: /ZZ D�d A, RECOMMENDED SEPTIC AREA:IZ� <br /> TEST PERFORMED BY dLg, <br /> TEST CERTIFIED BY : - <br /> OBSERVED BY (SANITARIAN) <br /> E!i 05 11 <br /> i <br /> 4 <br />