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LOWNER: I �d� �T �i .DATE: <br /> APPLICATION #: DEPT TO FIRST WATER: ft SOILTYPE: <br /> 4hpprtes 2 !nest <br /> LREMARKS: / / / L l �y�� �1(12'LaetYJater Drop) 101 002nd water Drapl <br /> TTTTTT"` Deeplesss than <br /> 30 miNm <br /> Shalbw less khan or=W miNm <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> L <br /> � t 1 <br /> L EEEA <br /> SOIL PROFILE (IP REQUIRED) <br /> LDepth Soil Tye Depth Soil Ty e Depth Soil Type Depth Soil Type Depth Soil Type <br /> TEST HOLE#1 DIAMETER: y_in DEPTH:/J.2.0— in TEST HOLE#2 DIAMETER: In DEPTH: in <br /> TIREADING WATER REFFI ED TIME READING WATER <br /> ME REFFILLED <br /> 1. DROP DROP <br /> �. 1D °� �z yr9 � <br /> L 103,2- b, • 60 Z/1 3 <br /> 110 t), (�y y, <br /> L 2— 6-7 l <br /> L PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> LRECOMMENDED SEPTI A: RECOMMENDED SEPTIC AREA: / <br /> TEST PERFORMED BY: V Phone: / Date:© <br /> TEST CERIF'IED BY' Phone: Date: (6 <br /> r �/'� <br /> OBSERVED BY (RE z Phone: �GLc _�-Y 'j Date: <br /> L <br /> h. <br /> EHD 42-02-003 PERC TEST RATE FORMI. <br /> REVISED 5/7/02 r <br /> /,O2 - 02s - UAL t3, <br />