Laserfiche WebLink
ADDRESS OR LOCATION: S- I g J Vj 172- APN: 0 Uvo-22..23,24, 7 <br /> OWNER: DATE: 9/ 12.1 OL/ <br /> APPLICATION #: DEPTH TO FIRST WATER:—Af j A ft SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> J. <br /> JI i 3 i 1f J <br /> —SOIL PROFILE (IF REQUIRED) `A <br /> Depth Soil Type Depth Soil Type Depth =Soil Type Depth Soil Type <br /> TEST HOLE#1 DIAMETER: in DEPTH: 3A- 3D NF1 TEST HOLE# IAMETER: in DEPTH: 3,2:1 <br /> TIME READING WATER REFILLED TME READING DROP WATER <br /> DROP REFILLED <br /> ID .,00 <br /> 0 ,2Z 220 3 ,9Z <br /> 2v 3 ,3D C) <br /> 2:L40 <br /> 01 -7, <br /> -D <br /> PERCOLATION RATE: 1 I? min/in PERCOLATION RATE: 2 min/in <br /> RECOMMENDED SEPTIC AREA: RECONLNIENDED SEPTIC AREA: <br /> 6 <br /> — TEST PERFORIMPhone: Date <br /> ED BY: _�& ` <br /> 1 <br /> z 2 0!:: <br /> TEST CERTIFIED BY: Phone: Date <br /> — OBSERVED BY s): Pho6�� Date <br /> EHD 42-02-003 PERC TEST RATE FORM <br /> — REVISED 5/7102 <br />