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ADDRESS OR LOCATION n, r+rr6- <br /> OWNER <br /> APPLICATION NO. DATE `7 ADZ SOIL PROFILE <br /> ( IF REQUIRED) <br /> DEPTH TO FIRST WATER : SIZE OF BORING : <br /> SOIL TYPE : <br /> REMARKS : 'P'�� <br /> L ` <br /> LOCATION OF TEST HOLES (SHOW WELLS & STRUCTURES) 3 ' <br /> 4 ' <br /> J ` <br /> F,� <br /> 6 ` <br /> 7 <br /> f z- G J t L <br /> 3 ` <br /> 9 ' <br /> 10 , <br /> TEST HOLE #1 TEST HOLE #2 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 7- <br /> z" <br /> -z " <br /> J <br /> Li <br /> Z <br /> PERCOLATION RATE : ��Z MI~�S�GN Iy PERCGLATION RAT <br /> v - <br /> RECOMMENDED SEPTIC AREA- 1 RECOMMENDED SEPTIC AREA : <br /> TEST PERFORMED BY - `� r-r- <br /> � U>r]6 fi <br /> TEST CERTIFIED BY - Ae,Q ZSR <br /> T� <br /> OBSERVED BY (SANITARIAN)-5 <br /> EH 06 11 <br />