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'NESS OR LOCATION: �)ropo!5 eY Pkce-� APN: Vlrl 2-30- 2-7 <br /> t•-R: C-�Q Fc,,�s DATE: <br /> ,ATION #: P' -` DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> Y RKS: <br /> �N LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> A o <br /> G <br /> Y <br /> � IIE e <br /> L <br /> _ PROFILE (IF REQUIRED ' `AA V <br /> f <br /> )E th Soil Type Depth Soil Type Depth Soil Type - Depth Soil Type Depth Soil Type <br /> THOLE#1 DIAMETER: Ci in DEPTH: ,K5,! in TEST HOLE#2 DIAMETER: In DEPTH: in <br /> W��SticlL <br /> WATER WATER <br /> T IE READING DROP REFILLED TIME READING DROP REFILLED <br /> „r <br /> F <br /> tminlin PERCOLATION RATE: min/in <br /> RCOLATION RATE: !v__.�__ <br /> .0 EMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> ST PERFORMED B7 _ Phone: Date <br /> S.CERTIFIEDBY: 1 Phone: Date <br /> Date �Q2 <br /> iSFRVED BY(REHS): - / Phone Date rJ � <br /> 1—&Vt;44-6— <br /> PERC TES RATC FORMI <br /> D •01.003 %Q. <br /> VISED 5naou J <br />