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OWNER: t i� l�( aa� 3 DATE: <br /> L <br /> APPLICATION #: DEPTH TO FIR T WATER: ft SOIL TYPE: <br /> / F(l21 <br /> rtest hourtest <br /> L REMARKS: C s)wafer Drop) Io l(l2•�al weler 0mp) <br /> Oeep less Ihan or=30 mifJm <br /> LOCATION OF T ST HOLES (SHOW WELLS AND STRUCTURES) — wlass than or=00 Nin <br /> L <br /> L , <br /> KA j <br /> L - <br /> SOIL PROFILE (IF REQUIRED)(-4,7 <br /> LDepth Soil Type Depth Soil Tye Depth Soil Type Depth Soil Type Depth Soil Type <br /> LTEST HOLE #1 DIAMETER: IR DEPTH: 1. 7 in TEST HOLE #2 DIAMETER IR DEPTH: IR <br /> WATER <br /> L TIME READING DROP REFFILLED TIME READING WATER REFFILLED <br /> DROP <br /> 00 <br /> 30 3 :23 <br /> L Ic 00 3; 73 6.7 - <br /> L 1030 3 , -7$ ( off 3, <br /> L HE 3 , (-:2- <br /> 1 3b 117/ m 03 <br /> G <br /> `" PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: �/y �7/' Date: <br /> TEST CERIFIED BY Phone: 2 / _>C(l( Date: <br /> r <br /> OBSERVED BY (REHS): Phone: Date: <br /> 6. E D 42-02-003 PERC TEST RATE FORMle <br /> REVISED 5/7/02 r <br />