Laserfiche WebLink
-v cn <br /> 00- <br /> CL <br /> ca <br /> U) <br /> (n <br /> --- Z <br /> T� <br /> t4i •.. �a.V •. .. V <br /> M , <br /> MAW - <br /> � NP-left,�` ENVIRONMENTAL HELTH DEPARTMENT 3 *- <br /> t.•. <br /> 186H East Hazelton l+venin.Sm F/ r <br /> Te/enhvnc !-nn11F.?-?.i"'n r,'rr'!-�r�, ,�.I. 7. k1 1.:�.^�. . 1'.i. ,rW.hd <br /> //PERCOLATION TEST RATE <br /> ADDRESS OR LOCATION: I�C'I�^'�SL�tf T7� A t L/C4 I.l� CRY: N�i_ A <br /> OWNERNAME: '�P9 J1 K''I,<,,P �.^f' -0 <br /> r1A DATE: _ (D <br /> i^I APN: ..=�Z ''7'.�:.�'�-� APPLICATION N: DEPTH TO FIRST INATERZ FI 0 <br /> SOIL TYPE: `-'CL.L•4{= <br /> z' <br /> REMARKS: �] <br /> 4 (D <br /> n <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) 0 <br /> -T <br /> cn <br /> - — — I— — — o <br /> 0 <br /> Illlllilt I i I VIII ! . I I 111 <br /> w <br /> OD <br /> 00 <br /> (D -- — -- ------- ------ <br /> SOIL PROFILE(IF REQUIRED) <br /> c De th Soil Type I Depth I Soil Type Depth WI_TyEe777Deuth Soil T e Depth Soil Type <br /> M <br /> cn <br /> Test Hole#1 Test Hole#2 <br /> Parcel: Diameter: in I Depth: = in Parcel: I Diameter. in I Depth: In � <br /> TIME READING WATER DROP REFILLED TIP.tE READING WATER DPAP REFILLED <br /> L c�L� 3 <br /> / r I <br /> 1 <br /> p <br /> / 1 i ' <br /> / J <br /> P 2 r 5r <br /> PERCOLATION RATE: 1•!- (a min/in PERCOLATION RATE: minlin ' <br /> RECOMMENDED SEPTIC AREA: RECOIAMENDED SEPTIC AREA: — <br /> 1/ N/lrL Phone;_'C'']Iglej 1011 J Date 11 ' <br /> TEST PERFORMED BY: <br /> TEST CERTIFIED BY: _ Phone: Date— <br /> REHS): t 1�>tik tU^t Phone Date <br /> OBSERVED BY( �--- - <br /> PFRCTESTR4TEFI;PS,y • <br /> (D ? t <br /> O . <br /> a <br />