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OWNEK �v/S�,r; /��c,—LE2 AOURL55 UIQ LULAIIUN /I/L// 3 N. roc L,5 T2Z50 as <br /> P.M. or S. NUMBER: m5 ao-/ok DATEo <br /> DEPTH TO FIRST WATER rs—, SIZE OF HOLE : � y2 �vc�r SOIL PROFILE <br /> ( 1F REQUIRED) <br /> --i <br /> 1 ' <br /> SOIL TYPE: 5.`T; �'/��G S/�-.�/� �Sr.-, <br /> 2 ' <br /> REMARKS: [�acl� ,,NE Avo tvlr �.c-�L AcR�rAot- D 3' <br /> k3► rc-A2t o.i7� A�r� o�E�ri�,� Q' <br /> LOCATION OF TEST HOLES ON PROPERTY 5' <br /> (SHOW ANY WELLS AND STRUCTURES) 6' <br /> 71 <br /> ??17' 8' <br /> � 1 <br /> i <br /> I� <br /> rh <br /> M e a <br /> Ia(J <br /> LZ wE77LE MON WI (N b <br /> '• I"r � k ��� '� a � s/rE Q <br /> V NORM V �. IN <br /> e p. V <br /> NOOSE <br /> O � N4NDEL IOD b <br /> Q Q <br /> R �I � <br /> ,{ s <br /> 1 V/CIN/7V MAA <br /> f eile <br /> 0 <br /> 0 <br /> L OCUS7 7R 6- RORD <br /> TEST HOLE #1 TEST HOLE A2 <br /> TIME READIM R R R 0 R E F I L L E 0 <br /> CF7. <br /> 0,IS l — <br /> U. 2 l v .30 / Ire <br /> 07 6 . ZG5 0.23 5 rc5 <br /> 12 '. 17 0.-3 <br /> 1Z 27 ""'0--3 2 S p . (75' y 5 <br /> 12 : 37 °' rj,i f b . 19 Y�5 <br /> ►2',Lt-7 o.500 .3 1 O <br /> PERCOLATION RATE: PERCOLATION RATE: <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> 2 0 d U 'F—r, <br /> TEST PERFORMED BY : TEST CERTIFIED <br /> 013SERVED BY (SANITA IAN) -, (R. C.E. or R.S. <br /> EH 13 11 __--- — <br />