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O m D <br /> 0 <br /> � O � Q <br /> rn ro <br /> NY? <br /> O <br /> O O LnN <br /> rD •..� Talopho . ...1. er:I;OSI rt O <br /> t1Q iON"' 1•1 rA .19R Web:W fw'J F-� <br /> j Jw rn9 end O <br /> �^ E PERCOLATION TEST RAT <br /> r-r <br /> rD 4DORESS OR LOCATION: I].'+LI l• I"�l r',"}I I. <br /> l N <br /> OWNER NAME. E>,i 1 1 I,\l! I CITY 1 I__'A ��_— ry, <br /> M APN: 1 2 I F; l F1 �f --DATE' IIIC1 l.�2!) (/I <br /> APPLICATION 0 S ROO�1 Z S - CL <br /> < SOIL TYPE rl1C I_I I r}__s I C I�I ,�+1 L DEPTH TO FIRST WATER __ FE (DQ <br /> _"S' REMARKS — (D <br /> ---_ _ r+ '--I <br /> 7 <br /> rD <br /> LOCATION OF TEST HOLES(sHowwELLS AND STRUCTURES, <br /> rti• <br /> v <br /> - I'FPGnUlIDN fF51.SxEtCM - -_ ` <br /> _ :'Ul;vnalm WC I•Ipo I I'FAf11U1iUN 1Esi',rfitn <br /> 1'r1,..nrY1 V'IC Giq <br /> rD i - <br /> - z55 <br /> xrnna.ri{.t0 — y.Zt ]u <br /> a.--Iln l.wl _ <br /> SOIL PROFILE(IF REQUIRED) <br /> De th Soil T e De th Soil T e De th Soil T e Depth I Soil T <br /> Test Hole#11 —� Test Hole#2 <br /> [Par I I Diameter: (/ in I Depth Zgin <br /> Parcel: Diameter: in Depth in <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> 9'oU D, — 4. 0 <br /> o y.N ,30 IU <br /> 10,00 y y .32 4 10 <br /> !0:30 3q 1 Z1 .11 <br /> 11:00 14,4 L .3 4.0 <br /> 1130 4.34 3 4.09 <br /> 12;00 y.ys .3 4_1 <br /> ►2.30 .ys 14.11 <br /> 1:00 4.4 3 <br /> PERCOLATION RATE:_ 5.62 min/in PERCOLATION RATE: minfin <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone:(Zof? 3,0-0375 Date q116 <br /> TEST CERTIFIED BY. (_ Phone: Date <br /> OBSERVED BY(RENS —T Phone /�Q}}5'y}.�� <br /> END4.03 REV 11/2/09 —� U LrJJ <br /> C TEST RATE FORK{ <br /> rD(D <br /> C) <br /> O <br /> Q <br /> v 0 <br /> (�D N <br /> I-_ O <br /> OO <br /> -+, Do <br /> N N <br /> l!T <br /> 00 <br /> W <br />