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HUUHtzbb UK LUUA,I IUIV: / l-(,L Y ;a ANN: <br /> OWNER: C� Yi� �'�.r� �t� .... DATE: A � �✓ (D <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> 4 hour test 1 hour test <br /> REMARKS: 30/(12Last Water Drop) 10/(12'Last Water Drop) <br /> Deep less than or=30 min/in <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) a Shallow less than or=60mir/in <br /> 1-7 <br /> T i <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> T TEST HOLE #1 DIAMETER: _�in DEPTH: TEST HOLE 42 DIAMETER: in DEPTH: in <br /> TIME READING WATER REFFILLED Timt: READING WATER REFFILLED <br /> DROP DROP <br /> 2Gr LU/ <br /> �^ r <br /> � r <br /> PERCOLATION RATE: ��.� min/in PERCOLATION RATE: - min in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date: <br /> TEST CERIFIED Y: Phone: Date: <br /> OBSERVED BY( Phone" Date: <br /> EHD 42-02-003 t PERC TEST RATE FORM Ic <br /> REVISED 5/7/02 <br />