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ADDRESS OR LOCATION 6r�- �G01--4-rr0 OAJ kVt7K <br /> OWNER <br /> APPLICATION NO. DATE Aft 90 SOIL PROFILE <br /> DEPTH TO FIRST WATER : SIZE OF BORING : ( IF REQUIRED) <br /> 1 ' <br /> SOIL TYPE : <br /> 2 <br /> REMARKS <br /> LOCATION OF TEST HOLES (SHOW WELLS & STRUCTURES) 3 ' <br /> _ J <br /> v ` <br /> 7 . <br /> 3 ' <br /> gel <br /> 9 <br /> T� 2- 10 <br /> TEST HOLE #1 TEST HOLE #2 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> oa <br /> Z <br /> PERCOLATION RATE ,. //,-/ PERCOLATION RATE: <br /> RECOMMENDED SEPTIC AREA: / RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY ' /, 4AP <br /> TEST CERTIFIED BY ' /Sf Z9Z <br /> OBSERVED BY (SANITARIAN) <br /> EH 06 11 <br />