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fs <br /> AI}DRESS OR LOCATION_ G% G � — /c-.t e I �►2���� ?`� <br /> OWNER /14/ C- !/( /_ /G-xe-/ <br /> APPLICATION NO. ln5-20 fp5- DATE SOIL PROFILE <br /> DEPTH TO FIRST WATER : SIZE OF BORING : ( � ( ( IF REQUIRED) <br /> 1 " <br /> SOIL TYPE : <br /> L <br /> REMARKS : <br /> LOCATION OF TEST HOLES (SHOW WELLS & STRUCTURES) 3 " <br /> 4 ' <br /> s <br /> n 7 ' <br /> 3 ' <br /> 10 ' <br /> TEST HOLE *1 CLvT 3> TEST HOLE #2 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> v -r <br /> PERCOLATION RATE : �b / r.,��_ PERCOLATION RATE: <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA : _ <br /> I <br /> TEST PERFORMED BY : <br /> TEST CERTIFIED BY , /2a/� tleiN�e.-► _ _ � <br /> OBSERVED BY (SANITARIAN) �C(✓ J U L <br /> ENVIRONMENTAL HEALTh <br /> EH 06 11 <br /> PERMIT/SER V I'CCS <br />