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p �p p cn <br /> nI = nt <br /> O � D <br /> o LQ ° <br /> F, LA <br /> 28 LA <br /> Telephone:(209)4683420 Ftx <br /> 0 )464-0138bNl- <br /> :www.sJ9ov.ory/ehd m O <br /> F, <br /> (�(J(� <br /> PERCOLATION TEST RATE C O <br /> R'1 ADDRESS OR LOCATION:_ I 1 1 1 (At �� Rd ,I � <br /> CITY: A G O LO <br /> < OWNER NAME_R(4i g I IL)4V(ilr0 <br /> DATE: m <br /> 0 SROO g(LAPNL <br /> SOIL TYPE 5 S h�,do DEPTH TO FIRST WATER: O_ <br /> IT <br /> m REMARKS Cod, I S((ti II I (D <br /> 1'UL{ �111�r �✓ Oe wi n_.i.o SEL Q <br /> fD <br /> = LOCATION OF TEST HOLES(SHOW wELLSAND STRUCTURES) m D <br /> I'D y I __ Gni <br /> °� PERCOLATION TEST SKETCH J� <br /> rr 1 — TJI PERCOLATION TEST SKETCH I 3 <br /> 1-M DIA.PVCPIPE -�- -1 7f I -0 <br /> Cn 4-M DLV.SOIL BORING I ! i ! ! i 2-BJ DLA.PVC Pus I O <br /> 'T3 4-IN DIA.SOIL BORING <br /> °` c 33 <br /> >y _ f rt x.16 5 <br /> L <br /> IT <br /> REF LL DIGHT L'(•5� t-1.34i - RePB.I.HEIGHTEL J I 111 <br /> SOIL PROFILE IF REQUIRED <br /> De th Soil Type Depth Soil Type Depth Soil Type De th Soil Type Depth Soil T <br /> a- Iz s s <br /> Test Hole#1 Test Hole#2 <br /> Parcel: i Diameter: in I Depth: 3 y Parcel: I Diameter: 4 in De the14 <br /> TIME REAr NG WATER DROF REFILL=:1 TIME READ''NG WATERDRoP REFILLED <br /> UO I Dr u,3 s cl,0(4 —3.5-7- 2'. I <br /> ;30 4.42 0,0 ZL 0.0 <br /> 10'.00 -12, — — 1 '.o`t 2 0.09 <br /> (0;30 u 3 v 01 — IQ Z__LL,00 u. U.02- — I1;OH 2,11__ <br /> I :10 t4.L46 0,0 <br /> 12;0 1 12:oy 'L Zff 0.03 <br /> Z"30 2-5- 0,01 r <br /> 0D 51 D -� I '.U4 2. O.O Lf <br /> PERCOLATION RATE: --_—? midin PERCOLATION RATE:._ L _min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: / fPhone: �6a-03�S _ Data L I 7-0- <br /> TEST CERTIFIED BY: _ Phone: __--- Date <br /> OBSERVED BY(RENS):Apr ----- Phone----- Date — <br /> PERC TEST RATE FOW.1 <br /> EHD 42-0.9 REV 11!1!09 <br /> 01 / 31 / 2020 <br /> (D <br /> (l <br /> O <br /> Q <br /> p <br /> O <br /> O <br /> OD <br /> v Fa <br /> O(D <br /> N <br /> N N <br /> O <br /> F� <br />