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ADDRESS OR LOCATION <br /> OWNER bra' —� •�.� <br /> APPLICATION NO . DATE 7 'V�- �� SOIL PROFILE <br /> DEPTH TO FIRST WATER : SIZE OF BORING : C� ( IF REQUIRED) <br /> 1 ' <br /> SOIL TYPE: C C-C7) <br /> 2 ' <br /> REMARKS : <br /> LOCATION OF TEST HOLES (SHOW WELLS & STRUCTURES) 3 ' <br /> 4 ' <br /> TV � J <br /> 6 . <br /> 7 ' <br /> 3 <br /> 9 <br /> 10 ' <br /> oT � <br /> TEST HOLE. #j 3 TEST HOLE # z/ <br /> TIME READING WATER DROP REFILLED I TIME READING WATER DROP REFILLED <br /> toy <br /> 1q, <br /> Z fir. <br /> 12 `l s <br /> PERCOLATION RATE : Y_TN H �y�Z ' PERCOLATION RATE: <br /> RECOMMENDED SEPTIC AREA: �2 <br /> RECOMMENDED SEPTIC AREA : <br /> TEST PERFORMED BY : ALrt <br /> TEST CERTIFIED BY : N /7-eN <br /> OBSERVED BY (SANITARIAN) 5�� <br /> EH 06 11 <br />