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OWNER: 1 e`T\ Y . DATE: 16 —13 <br /> ` APPLICATION #: DEPTH TO FIRST WATER: ft SOILTYPE: <br /> 4 hour test 1 hour test <br /> DK/ <br /> F301112'Last Wafer Drop) <br /> 101p2'Last Water Oropl <br /> REMARKS: 1, 8lr <br /> Deep less than or=30 minfn <br /> 51 <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> a Shallow less Ihan <br /> or=W miKn <br /> SOIL PROFILE (IR REQUIRED) 1 <br /> Depth Soil Ty e Depth Soil Tye Depth Soil Type Depth Soil T pe Depth Soil T pe <br /> TEST HOLE#1 DIAMETER: __q__In DEPTH: •r 10 in TEST HOLE#2 DIAMETER: In DEPTH: In <br /> TIME READING WATER REFFILLED TIME READING WATER REFFILLED <br /> DROP DROP <br /> g ; 00 a/y 9 , 77 <br /> >C, <br /> " 00 .3y <br /> UU $ • /b <br /> o <br /> PERCOLATION RATE: Z ?i 1 min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> ` TEST PERFORMED BY: Phone: �/ 7 2 Date: <br /> TEST CERIFIED B Phone: X� ( - J(7(' J Date: <br /> r LL <br /> OBSERVED BY (REHS). Phone: Y� 3� Date: <br /> y EHIJ 42-02-003 1 PERC TEST RATE FORMIc <br /> REVISED 5/7/02 r <br /> ri/.•3d <br /> /2'a) ' 9-oa - 0 i� - zzo <br />