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ADDRESS OR LOCATION: `I C ViNq I!S R 4Ad APN: o� <br /> OWNER: -016 •'t SCh }'RVh, s DATE: <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOILTYPE: <br /> — 4hourtest ihourle.I <br /> REMARKS: � 30 r p2•teel WaierDrop) 101(12 Ia wafer Drop) <br /> Deep less than or=30 mi Mn <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) g Shaloxle,s,hw r,==3 Z,', <br /> SOIL PROFILE (IF REQUIRED) s,62. <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> — <br /> TEST HOLE #1 DIAMETER: 4/ in DEPTH: 3r05' in TEST HOLE#2 DIAMETER: in DEPTH: IR <br /> TIME READING WATER DROP REFFILLED TIME READING WATER DROP REFFILLED <br /> /01-7, pr / $ISO <br /> /a v2 pry . 6" S,yo <br /> /� ;yz pYy .1 '7 Srsa <br /> +�:E� p•Y , 6; 5, 35' <br /> 1;k `l '? S,% 30 <br /> r775" 30 <br /> _ a • is pry � � J,,. <br /> PERCOLATION RATE: 7 = min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPT C AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: - Phone:���d��+�y7S Date: <br /> TEST CERIFIED B Phone: T � Date: ( rf O -0j <br /> OBSERVED BY(RENS): Phone: Date: <br /> EHD 42-02-003 PERC TEST RATE FORM I c <br /> REVISED 5n102 <br /> _ <br />