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ADDRESS OR LOCATION_ 4 C 4-C 67 , CC 4 <br /> WNERAOWNER- <br /> AA <br /> P _ CATION NO. DATE �� �cl SOIL PROFILE <br /> �� ,Z, 'r3 ( IF REQUIRED) <br /> DEPTH TO FIRST WATER: SIZE OF BORING�z/� JV, rv^ <br /> r <br /> SOIL TYPE: LT- MCA) <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS & STRUCTURES) 3 ' <br /> 4 ' <br /> i <br /> 300 7 • <br /> ?10 LJ 8 ' I <br /> , <br /> 9 ' <br /> i <br /> 10, <br /> _ e TEST HOLE #3 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> $ Z - f <br /> Ir <br /> 61 <br /> cv <br /> �C� C% <br /> L5 71, <br /> b/I <br /> 1645 0 YZ 2,1 <br /> (�) <br /> �C t <br /> y-,7 <br /> L ( 6 <br /> PERCOLATION RATE: /" �(�/"PERCOLATION RATE: <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: � r <br /> TEST PERFORMED BY: <br /> TEST CERTIFIED BY: <br /> OBSERVED BY (SANITARIAN) <br /> EH 05 11 <br />