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iv = o v_) <br /> o O CD ID <br /> G) -4 °° Q <br /> I <br /> o <br /> O IV U) <br /> Q <br /> O O <br /> QJ -7— 0 CII <br /> 3 ° r O <br /> 464-0138 Web:www,sigov org/ehd w <br /> q PERCOLATION TEST RATE .-� <br /> O ADDRESSOR LOCATION: 11 c I , �� Y. w <br /> 7 zT <br /> 3 OWNER NAME: K£T'I.- 1-'P"LL1 P S CITY: pc'C /fig-+f-'C` w <br /> (D APN: C2C 2- (C' - 3 t DATE: I Z) <br /> 7 APPLICATION K; S2 C-O,�2 31� l <br /> j' SOIL TYPE, SILT 2-E& , t%(''rs->1.1 DEPTH TO FIRST WATER: F1 O <br /> REMARKS: <br /> _ w <br /> = Q. <br /> LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) n <br /> -- N <br /> -a . - 3 <br /> PMOUTIDN TEST SCEILN <br /> PER CAUTIDNTESTSUETCN <br /> --I� — - <br /> 2-D... PVC Pipr <br /> S-.'._I <br /> 22.76 =L{ �6 -- n <br /> - O <br /> NeNll l<vel; 5—LI. - CD <br /> CA <br /> SOIL PROFILE(IF REQUIRED) <br /> r r- <br /> De th Soil T e De thfv <br /> Soil T e D _ <br /> + -9 sa U 1 /IP-gth SSoil T�er De Soil I Ty - De th SOiI T e O <br /> - <br /> S <br /> I{I s l <br /> SO <br /> C. <br /> Parcel: 1 Diameter: 4--- ---- CL <br /> I <br /> De theIn 3 Test Hole#2 C Parcel: I Diameter: CD <br /> TIME READINGWATER <br /> I` In De the 2 }3 in <br /> WA`R DROP i REFILLED <br /> TIME�. CD <br /> 30 r ,1 Z �.5 7:0-L ��ING WATER DROP REFILLED <br /> 15q g 73 2 3.S ZO.S S <br /> o <br /> 10:30 Y;6s �6 oz Z i'. �lY zt.z� U) <br /> 10,12- Lt. 4 22 <br /> 1 :017 r 6 2�- ZS <br /> f2-av y 6 :�1 14' SS II:32 21.y 23 1'ZO C <br /> 12; <br /> 0'2' 26 Zl. 2� c <br /> 21, ,ZS <br /> PERCOLATION RATE:_ <br /> RECOMMENDED SEPTIC AREA: �'r �1 min/in PERCOLATION RATE: // N <br /> 36 <br /> TEST PERFORMED BY Pte ` �1 RECOMMENDED SEPTIC AREA: min/in O <br /> Phone: 36q-pp <br /> TE RTIFIED BY: Date Q 7. <br /> OB @�DD BY(REHS): Phone: <br /> Date <br /> EHD 42-03 v 11/2/09 - Phone LL-` VL <br /> C <br /> Date <br /> PERC TEST RATE FORM N (D <br /> O <br /> C. Q <br /> �wmN <br /> w CD <br /> (D ,r Cn <br /> O U CD <br /> 0 _ CD <br /> 00 O 00 <br /> � N <br /> <p �l <br />