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I ADDRESS ORLOCATION �r� C-fT4TF- <br /> s UcA�F� rnl Jrtlt/rrf <br /> OWNER <br /> APPLICATION NO. DATE q- , SOIL PROFILE <br /> DEPTH TO FIRST WATER : SIZE OF BORING : G ( IF REQtIIRED) <br /> 1 ` <br /> SOIL TYPE: co <br /> REMARKfr7ec df 6 ` <br /> LOCATION OF TEST HOLES (S)HOW WELLS & STRUCTURES) 3 ' <br /> 4 " <br /> 5 <br /> 6 ' <br /> 7 ' <br /> 3 ' <br /> 9 ' <br /> .� <br /> 10 , <br /> TEST HOLT' #4 — — TEST HOLE #f <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> o% f "o <br /> 07 , <br /> x: 79 <br /> MI�+5 � Mitis <br /> PERCOLATION RATE : /ri�df �° �y PERCOLATION RATE : 'y <br /> RECOMMENDED SEPTIC AREA : �7 U7 RECOMMENDED SEPTIC AREA : Z UUO <br /> TEST PERFORMED BY , <br /> TEST CERTIFIED BY - <br /> OBS ERVED <br /> Y :OBSERVED BY (SANITARIAN) .< 1L72 <br /> EH 06 11 <br />