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0 FD <br /> -I D <br /> CL <br /> O 4 N -1 <br /> (D <br /> 7� N <br /> d a�plii y M O <br /> C7' `• N <br /> M O w <br /> Telephone: <br /> 19ov or e 7 n <br /> O PERCOLATION TEST RATE A O <br /> � r <br /> ADDRESS OR LOCATON: �_ r y E �• un �" 1 yr <br /> fD <br /> rt OWNER NAME.�-�� [�� k CITY L..n.�,l-Q,yl Vf <br /> 41 APN: 0,11 APPLICATION � DATE��f �h S <br /> 11 �OK1�4lL - - M r- <br /> = SOIL TYPE r�N (.(E (`n�+'1 r _DEPTH TO FIRST WATER FI ir+ <br /> ARKS: <br /> fD REM ! N I u - CL <br /> 11 fD <br /> r+ <br /> N <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURESI <br /> rD <br /> E PERCOLATION TEST SKETCH - PERCOLATION TEST SKETCH <br /> Ln 2•INI)IA,M'T'PIPE 2-IN DIA.PVC PIPE <br /> 4-IN DLA. <br /> J-IN DIA.Son.BORING -, Y <br /> � { �a DDRr.:a <br /> f <br /> REFILLIRAG]n. I - - --- 'RUMLIMIGHI <br /> SOIL PROFILE IF REowREO <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil T e Depth Soil Type <br /> -7.i' ct } <br /> Test Hole#1 Test Hole#2__ <br /> Parcel: 1 Diameter: Al in Depth: 3.50 Parcel Diameter: n Depth: <br /> Tient Rb;i:we 'N.ar=Or',- REFILL ED Tun- <br /> ReunV; W�TCRDRC= <br /> Tap ti.S <br /> 11' 0Lq <br /> SS <br /> --- <br /> I1:5a y. D,i� <br /> 12.00 <br /> �.�4 � minlin <br /> I2 30RATE: <br /> PERCOLATION RATE: --_—__---= --minlin PERCOLATION _ AREA' — —r- <br /> RECOMMENDED SE SIC AREA' <br /> w-- <br /> RECOMMENDED SEPTIC A EA:_— ------------ Phone: Date <br /> =G �—� -- - <br /> TEST PERFORMED BY: _ - --------- Phone: - Date <br /> TEST CERTIFIED BY: .. _ - - - --- <br /> Phone__------- - PLRcroslRATE rurw � <br /> OBSERVED BY(REHS): ---- ' - rDn <br /> UID 42-03 REV 1112109 a B O <br /> B CL <br /> - - D <br /> to <br /> O <br /> O <br /> 00 <br /> F� <br /> v <br /> 00 <br /> N <br /> ty <br /> d4 <br /> !D <br /> F� <br /> O <br /> n <br /> N <br />