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OWNER: *^ hr y DATE: q,/p, CSO <br /> APPLICATION #: DEPTH TO FIRST WATER: it SOIL TYPE: <br /> hour tes <br /> REMARKS: �/t/ l�J e� l CLI�I�Iy Fii <br /> terDronl to ne a waterDrepl <br /> plesslhanor=30 miNin <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) vx less than or <br /> �n <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> � <br /> L TEST HOLE #1 DIAMETER: in DEPTH:' <br /> tA in TEST HOLE#2 DIAMETER: _in DEPTH:3r in <br /> LTIME READING DROP WATER REFFILLED THvfE ``�INC' DROP WATER REFFIL.LED <br /> 730 <br /> . 6S <br /> �a $ <br /> .03 <br /> PERCOLATION RATE: j n7 r min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTI A: RECOMMENDED SEPTIC AREA: <br /> �� � 0K, <br /> TEST PERFORMED BY: Phone: &0 LO Date:Dater„ <br /> TEST CERIFIED B Phone:��l c 0 Date: �([� �G -06 <br /> OBSERVED BY (REHS ' o Phone: 4'�—L-22% -3 Date: l <br /> y EHD 42-02-003 ? PERC TEST RATE FORM1. <br /> REVISED 5/7/02 <br />