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OWNER 9r►A"rnfi-r sir.-vs, ADDRESS OR LOCATION <br /> AVP-r?} , i40STS <br /> P,M, or S. NUI iBER: <br /> _ DATE : <br /> DEPTH TO FIRST WATER _ � SIZE Of HOLE: (� SOIL PROFILE <br /> _. ( IF REOUIREDI <br /> SOIL TYPE: <br /> c � P, 21 <br /> REMARKS: �L TaP o� P�P� 31 <br /> ii <br /> 4 <br /> LOCATION OF TEST HOLES ON PROPERTY 51 <br /> (SHOW ANY WELLS AND STRUCTURES) 62 <br /> 7' <br /> _ 81 <br /> TEST HOLE TEST HOLE 42 <br /> TIME READPNG WTTERDROP" REFILLED TIM READING W RO ILL& <br /> p <br /> X � 17 $ !:� <br /> f"t o <br /> mERCOLATION RATE: YZ ��� PERCOLATION RATE: <br /> ECOMMENOEO SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br />■EST PERFORMED SY <�3. TEST CERTIFIED BY: <br /> moc >ERVr0 8Y 'SANIT/AR�AN� (3 r- t <br />