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OWNER: �Q {� . DATE:- <br /> L <br /> APPLICATION #: DPTHTO FIRST WATER: it SOILTYPE: <br /> " / �,(/ 4 hour test 1 hour test <br /> L REMARKS: yl//� 1 5 �'-�[/ 3o/h2•OL:,waleromol 101 p2 �.�=I wateror�Pl <br /> —7T'—T �eeo less than or=30 miN'm <br /> Shallow less Ihan or=W mirJn <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> L u <br /> I <br /> 71-T I <br /> K \ <br /> L <br /> SOIL PROFILE (IE REQUIRED) 6 <br /> LDe th Soil Ty e Depth Soil Ty e Depth Soil Ty e Depth Soil Type Depth Soil Type <br /> TEST HOLE #1 DIAMETER: �_in DEPTH:3� In TEST HOLE#2 DIAMETER: n DEPTH: Z/ n <br /> L TIME READING DROP WATER REFFILLED TIME READINWATER REREADING DROP REII'LED <br /> L d ayr3y — 811 3t � � — a. � y <br /> �y� y 38 , 0'/ - �y \ q3 q -t- <br /> L ID y,yz- . 6y lr a , 16 . 03 — <br /> L q p ` rPOS. /oI 3, ° - 0__Z_ — <br /> L /DS'� /vj� 3. 03 - ol R,7'7 <br /> L la to 3. 0/ . 0 ( <br /> L PERCOLATION RATE: m n in PERCOLATION RATE: min/in <br /> LRECOMMENDED SEP AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: 7! Date:��� <br /> TEST CERIFIED BY: Phone: �(l —�7� Date: �� �6_oc, <br /> OBSERVED BY (RENS): Phone: Date: <br /> V EEID 42-02-003 r PERC TEST RATE FORMI, <br /> REVISED 5/7/02 r <br />