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0 W N L R_ ADDRESS OR LOCAL ION ,3�D ,�. �'o/�rr /Zc <br /> • ��a.-�y�e� Lf� �JSZZa <br /> P.M. or S. NUMBER://j_ --� - / DATE: 7 t' <br /> SOIL PROFILE <br /> DEPTH TO FIRST WATER, SIZE OF HOLE:_ ( IF REQUIRED) <br /> 1 ' _ <br /> SOIL TYPE: .<e-G ,Be/ow2 � I _. <br /> REMARKS.,/ wa�t.- sf ,��J`ro/`Ifio�j F s /1a/es 3 <br /> 41 <br /> LOCATION OF TEST HOLES ON PRO ERTY .�' 51 <br /> (SHOW ANY WELLS AND STRUCTURES) 6' <br /> 71 <br /> 8 <br /> N j cs�� Li' 7n�'/7�'� h-JA� �D✓ `/cam/,,i o- <br /> °, Tis/:31i/mss. <br /> 1 - 4 pale o =-� c%/ <br /> TEST HOLE #1 TEST HOLE #2 <br /> M WATERDROP" REFILLED IM READING WATER R REFILLED- <br /> 7 <br /> FILLED7 .5 <br /> ,q/ ,, P <br /> e o <br /> 1000 <br /> /403u 2.y�7' <br /> �i,ye //Y C01 ATI ON RATE <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> TEST PERFORMED BYTEST CERTIFIED BY! <br /> OBSERVED BY (SANITARIAN ,, ~' _ (R.C.E. #) <br /> EH 13 11gU <br /> r <br />