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ADDRESS OR LOCATION: V•ev I,,( )/S fz"- APN: <br /> OWNER: T�D h. SCi. li YW!S DATE: -7, -�l 'O� <br /> _ APPLICATION #: DEPTH TO FIRST WATER: It SOIL TYPE: <br /> 4hourtest lhour test <br /> REMARKS: 11 eZ 30t(12•Lest Wates Drop( 101(12 a water Drop) <br /> Deep less than or=30 min/in <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) s Shallow le si an a=Wmnn <br /> SOIL PROFILE (IF REQUIRED) S•21Z <br /> Depth Soil Type Depth SoilType Depth Soil Type Depth Soil Type Depth Soil Type <br /> TEST HOLE 1 1 DIAMETER: 41 ID DEPTH: �t"�7 in TEST HOLE #2 DIAMETER: IH DEPTH: in <br /> TIME READING DROP REFFILLED TIME READING WATER DROP REFFILLED <br /> S, as <br /> S. 37 <br /> S1 ar <br /> p <br /> -xz. <br /> � 106 St 63 A <br /> ( , 3t �t7Y <br /> PERCOLATION RATE: S � niin/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPT AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: ' Phone: -/ �6y Date: <br /> TEST CERIFIED BY' Phone: �(J7�?J�0 / Dater <br /> OBSERVED BY(RENS): ✓ Phone: Date: yrO Q17 <br /> EHD 42-02-003 PERC TEST RATE FORM Ic <br /> REVISED 5i//02 <br />