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ADDRESS OR LOCATION <br /> OWNER ✓E �.� -� ,�e ' t�r��7 �r i� <br /> APPLICATION NO. ���" - 9��/� DATE 2- 19& SOIL PROFILE <br /> DEPTH TO FIRST WATER: SIZE OF BORING : ( IF REQUIRED) <br /> SOIL TYPE: r'rs vIf b' 2 <br /> REMARKS - <br /> LOCATION <br /> EMARKS :LOCATION OF TEST HOLES ( SHOW WELLS & STRUCTURES) 3 ' <br /> 4 ' <br /> `�f rrrG a�q �iarl e.s� %s <br /> 61 <br /> 7 ' <br /> 8 ' <br /> 9 ' <br /> 10 ' <br /> TEST HOLE iti Ao�,PCt'L ? TEST HOLE #2 <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> Z <br /> PERCOLATION RATE : PERCOLATION RATE : <br /> RECOMMENDED SEPTIC AREA : * RECOMMENDED SEPTIC AREA : /�Z006 f, <br /> TEST PERFORMED BY : <br /> TEST CERTIFIED BY : �•� �- 1� �� <br /> OBSERVED BY ( SANITARIAN) <br /> See f ex 7" rP y' �o�/ �u� �6i/ ��/ S�u��/ ,�P�,00✓7'` <br /> Eii 05 11 <br />