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c <br /> in. <br /> 7 •;r_ vh.LFn a^' 7� ` T s�'r ,./f` k � 7�y:� ,w ��sy :'�rt`./� �? w� amt <br /> T1 ,waL <br /> 1lr.3 h k1' � '}ayr,�`�'7 S ,� '.t'vr 'r�G'ry ) C^' _ b. .»� �•:�.r ti � �. <' ;i ��c..a..; <br /> dt <br /> y ;U„ � ro1LS�I �. �: ♦ d� .5: tic � .r',ti,,. ? .. �. ,; +f`,. <br /> rAPPLIC�iTIOK. NO <br /> SOIL PROFILE <br /> (IF RE@tiIRED). �z <br /> .DEPTH T4 FIRST WATER: -SIZE• OF :,BORING: /Z <br /> 1• `�' t t <br /> SOIL TYPE: <br /> REMARKS : 25- 40 <br /> LOCATION OF TEST HOLE (SHOW WELLS & STRUCTURES) 3 " a a <br /> 4 �y' 2y' <br /> Ll <br /> ,yP <br /> I2 - <br /> 5 '8 Jg <br /> TEST HOLE s TEST. HOLE #2 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 00 <br /> 3 ' <br /> f, <br /> 2 . 5113 " 27 � <br /> 327dy <br /> Y7 15- <br /> 60 /Z /, <br /> N <br /> t <br /> o� <br /> pe <br /> PERCOLATION RATE : PERCOLATION RATE: <br /> RECOMMENDED SEPTIC AREA: -- RECOMMENDED SEPTIC AREA : <br /> TEST PERFORMED BY : <br /> TEST CERTIFIED BY : <br /> OBSERVED BY (SANITARIAN) s 4s' <br />