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e ep brig.'(2U9; <br /> 4"-"42U ra) : <br /> ` . PERCOLATION TEST RATE /N4 <br /> �... CITY: <br /> �,j.i /� li� ..✓!t DATE' ER: <br /> OR LOCATION: DEPTH TO FIRST WAT <br /> ADDRESS {!� p -7 <br /> OWNER NAMEgppLICATION t: �_--�-- <br /> APN: <br /> 165 1 1) - /S ' /`� <br /> I Jc9 ' ItAfyv <br /> SOIL TYPE <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES <br /> t- r- �----• h-"1 - Lam- �__� �- '- _ - i <br /> --- - TFT <br /> _� ; ;-f -T-T- <br /> j �-, , - <br /> r r <br /> 1 _ <br /> F- <br /> _T <br /> LI f - <br /> r � � i !, 1 <br /> I j I <br /> SOIL PROFILE(IF REQUIRED) <br /> De Soil Type._ Depth Soil Type_ De th Soil Type Depth Soil T e De th ' Soil T e <br /> Test Hole#1 Test Hole# 2 <br /> Parcel. ; Diameter in De the yy in Parcel: Diameter. in I Depth: y T- in <br /> TiyE R 1 :xG i WATER DRGP I REFILLED TuE _ I READING VVATER DROP I REFILLED- <br /> o 2 21 -° - <br /> 3,�� Z �— 3� 2.�y -'o� - ------- - <br /> 05, <br /> O <br /> ,/0 <br /> PER cao)TION RATE: `� min/in PERCOLATION RATE: minJin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: _ <br /> TEST PERFORMED BY //1/&5 % Phone �iAe^i Date <br /> TEST FH�TiFIED BY Phone. Dale <br /> OBSE O/ED BY(RENS; +— /` Phone <br /> Date <br />