Laserfiche WebLink
DDRESS OR LOCATION:� VZ�°� t�4d I P/.�t' `F� . APN: ( GI ' 3 qO - j 3 <br /> WNER:n)uw spj\� C/o CSCBnSn/V V+'AM NM DATE: �` ✓ -t�6 <br /> PPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> / <br /> EMARKS: fl W z�I o c Of V C} U f �.$ W 1 P Z 60 i <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> I ! 1 <br /> - I I i � il i i I III 1111 . 11 I i I � <br /> )IL PROFILE (IF REQUIRED) <br /> Depth Soil Type Deoth I Soil Type I Deoth I Soil Type I Deoth I Soil Ty1ju Deoth� Soil Type <br /> I ! I <br /> I <br /> U I <br /> :ST HOLE#1 DIAMETER: in DEPTH: N yZ-in TEST HOLE#2 DIAMETER:_ in DEPTH: y2— in <br /> WATERWATER REFILLED <br /> TIME READING DROP REFILLED TIME READING DROP <br /> Z76 - <br /> o 0 5DL 3 30 2 v. <br /> Is o507S <br /> 7b <br /> a <br /> 7b <br /> PERCOLATION RATEA It✓• �eS 1 COWCf' miniin PERCOLATION RATE: ►t Y• I L5�nolcti ed min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> "LEST PERFORMED BY: Phone: Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY( S): <br /> Phone 3 _ Date <br /> PERC TEST RATE FORMIC <br /> L•IID J2-0i-OOJ <br /> REVISED 5!7/2002 <br />