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OWtiER T02�E/JSo�/ N19Lle-612 Tni,-.ADDRESS OR LOCATION ? gjeo <br /> P. M. or S. NUiiBER: DATE : T6./�'g7 <br /> SOIL PROFILE <br /> DEPTH TO FIRST WATER, SIZE OF HOLE: 6" [,fir ( IF REQUIRED) <br /> SOIL TYPE: GLia�ir�y ;r �L r 2 ' / i2,1N6 4,06 <br /> REMARKS: 3 1 <br /> 4 ' <br /> LOCATION OF TEST HOLES ON PROPERTY <br /> 5' <br /> (SHOW ANY WELLS AND STRUCTURES) 6' <br /> 71 <br /> — 8' <br /> /4 <br /> 2t� <br /> TEST HOLE #1 TEST HOLE `' <br /> M RE. W R RO " R FILL D� IM READING W R DROP"— REFILLED <br /> 3 f h <br /> 12 <br /> PERCOLATION RATE: /D mi Ns = PERCOLATION RATE: <br /> RECOMMENDED SEWAGE DISPO L AREA: RECORMENDED SEWAGE DISPOSAL AREA: <br /> 4 owd <br /> TEST PERFORMED TEST CERTIFIED BYc) Tl� /}'I <br /> � <br /> OBSERVED BY (SANITARIAN , �� (R.C.E. or R.S. #) z9 7 S� <br />