Laserfiche WebLink
OrD <br /> a, -1 D <br /> D O N <br /> o xe � � <br /> :3w <br /> Yn <br /> !y M N <br /> 1 O <br /> M C <br /> ' : fy COWNER NAMEM: � <br /> O ZOT 0 <br /> =3APN: DATE: !c >/ D <br /> APPLICATION is ,i f�Gv C�i�3G -a <br /> 3 SOIL TYPE: /_.- DEPTH TO FIRST WATER: FI VI <br /> REMARKS: 'IT" J rF r0 <br /> 2 S S <br /> M Q- <br /> 2 tD N <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES <br /> tv W O <br /> N O <br /> FO f f R_h F-1-1 CC ( i i n I Fn FF <br /> SOIL PROFILE IF REQUIRED <br /> De th Soil T e De th Soil T De th Soil T <br /> Depth Soil 7 e Depth Soil T e <br /> Test Hnle#1 C_ Test Hole#2 _ <br /> P I ulameter <br /> In Depth 7 m Parcel: Diameter: in De the n <br /> TIME READING I WATER DROP REFILLED <br /> -_ _. TIME READING WATER DROP _REFILLED <br /> U. <br /> 01 <br /> Li <br /> 17 - — <br /> 122G -- <br /> PERCOLATION RATE: C) minlin PERCOLATION RATE: <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: minlin <br /> TEST PERFORMED BY; ICS{J9J,lluCYlSr�� Phone{ 7 % Date <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS): <br /> Phone Date <br /> EHD 42-03 REV 1!2/07 <br /> PERC TEST RATE FORM <br /> DC7 <br /> (D <br /> n <br /> O <br /> Q <br /> (r7 <br /> 70 <br /> O <br /> � O <br /> (D 00 <br /> O N <br /> G) IV <br /> O <br /> O 00 <br />