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r <br /> ADDRESS OR LOCATION <br /> OWNER <br /> APPLICATION NO. SOIL PROFILE <br /> DEPTH TO FIRST WATER: SIZE OF BORING : ���'� ( IF REQUIRED) <br /> SOIL TYPE: <br /> 2 ' <br /> REMARKS : <br /> LOCATION OF TEST HOLES (SHOW WELLS & STRUCTURES) 3 ' <br /> 4 ' <br /> F ' <br /> 7 <br /> 8 ' <br /> 9 ' <br /> 1C) ' <br /> TEST HOLE #1 TEST HOLE #2 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 4 <br /> PERCOLATION RATE : PERCOLATION RATE : .•� <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY <br /> TEST CERTIFIED BY : <br /> OBSERVED BY ( SANITARIAN) <br /> EH 05 11 9/84(90) <br />