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ADDRESS OR LOCATION_ <br /> OWNER <br /> APPLICATION NO. DATE SOIL PROFILE <br /> ( IF REQUIRED) <br /> DEPTH TO FIRST WATER: SIZE OF BORING : <br /> 1 ' <br /> SOIL TYPE : <br /> 2 ' <br /> REMARKS : <br /> LOCATION OF TEST HOLES (SHOW WELLS & STRUCTURES) 3 ' <br /> A ' <br /> 5 ' <br /> 6 ' <br /> 7 ' <br /> 8 ' <br /> 9 ' <br /> 10 ' <br /> TEST HOLE, 01 TEST HOLE #2 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> PERCOLATION RATE : -s PERCOLATION RATE : <br /> RECOMMENDED SEPTIC AREA: rz ,fe�D —��'rf RECOMMENDED SEPTIC AREA : <br /> TEST PERFORMED BY : /I — <br /> TEST CERTIFIED BY : <br /> OBSERVED BY ( SANITARIAN) <br /> ru n; Ii <br />