Laserfiche WebLink
xo+ (D <br /> �• O (D D <br /> CL <br /> o se <br /> 0 m <br /> N w N <br /> 7 -- N <br /> M N <br /> v' O <br /> mO tDO <br /> < rn <br /> < v' <br /> _1 O Z <br /> qq ON TEST RATE D <br /> ADDRE /V.. %I. ''7L-' ��,.fir. �/ N �. <br /> OWNER NAME. r L CITY: �'�- /r�7 r! rD <br /> Di APN: C4 -� .1- _ APPLICATION DATE: io .Z7 <br /> /: :/.•(,._ li•; Q <br /> = SOIL TYPE DEPTH TO FIRST WATER: _Fi <br /> N REMARKS: <br /> W O <br /> rr _- V1 n <br /> s � <br /> r-F <br /> VI O <br /> -a LOCATION OF TEST HOLES SHOW WELLS AND <br /> (D STRUCTURES <br /> n <br /> 2L <br /> r•r il , <br /> i rf E-rFr11 r1l rn r -T1 FI-1 <br /> I T—I- i I <br /> SOIL PROFILE IF REQUIRED <br /> De th Soil T e De th Soil T e De th Soil T e De th Soil Type De th Soil T e <br /> Test Hole#1Test Hole#2 <br /> Parcel: Diameter: in De the n Parcel: Diameter: in De th n <br /> �j <br /> TIME READING WATERDROP REFILLED TIME READING _ WATER DROP REFILLED <br /> C.c <br /> 16.2 -- <br /> it,5Z' _n — <br /> l�=v <br /> c'. 00 <br /> PERCOLATION RATE: minlin PERCOLATION RATE: minlin <br /> RECOMMENDED SEPTIC AREA: RECOM ENDED SEPTIC AREA: <br /> TEST PERFORMED BY:—R,°h/;i nI ri n Phon Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS): I ! �' - Phone Date <br /> EHD 42-03 REV 11/21'09 PERC TEST RATE FORM <br /> .Zl <br /> (D <br /> n <br /> O <br /> CL <br /> 1 1 , <br /> 0 <br /> D) O <br /> 0'U 0 <br /> rD 00 <br /> f� <br /> Ln N <br /> O W <br /> In QT <br />