Laserfiche WebLink
OWNER <br /> ADDRESS OR LOCATION <br /> P.M. or S. NUtIBER: DATE : <br /> SOIL PROFILE <br /> DEPTH TO FIRST WATER. ! SIZE OF HOLE:_ ( IF REQUIRED) <br /> 1 ' <br /> SOIL TYPE:—SF—,F— tic prce-Frt f _ 2 ' <br /> REMARKS: F'- 2 - ivn y i " f�fr�= 3 <br /> f - Ivo 4 <br /> LOCATION OF TEST HOLES ON PROPERTY 5' <br /> (SHOW ANY WELLS AND STRUCTURES) 6' <br /> 7, <br /> 8' <br /> I <br /> 64 <br /> 77- <br /> TEST <br /> ZTEST HOLE #4 1 (hhvrr+ 7'z TEST HOLE #2 (oc-c" <br /> TIME R-EA­9-lTG---WATER—DROP'l'j REFILLED TIME READING WATERDROP" REFILLED <br /> r1-7 <br /> fc <br /> lit <br /> PERCOLATION RATE: > Smin+s j r? �_� PERCOLATION RATE: 6C� n�iHs /T,,��-1 <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> TEST PERFORMED BY: TEST CERTIFIED BY. - j�., � <br /> ZSERVED BY (SANITARIAN) (R.C.E. or R.S. #) y z S <br /> EH 13 11 Ad <br />