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(D <br /> tiN Q <br /> O - 138 Web:wwwsjgov.orglehd i (D <br /> Ln <br /> Ln I .o C.• I--� <br /> PERCOLATION TEST RATE Yi <br /> D7 <br /> ADDRESS OR LOCATION: S I I J Pr�'1)E C T. CITY: �� O t O W <br /> C N U'I <br /> OWNER NAME: A��hi-D N,l IZ O S C DATE: 17,1161" - I� <br /> (D _ O <br /> rD APN: O O S- 3 3 C- OI APPLICATION N: SUOT 24 S9 DEPTH TO FIRST WATER: Ft - '�•r <br /> tn• SOIL TYPE: SR-^� JO°t QvIN- V(�n nl I--�IvD CCvvv PLk-'X 0 <br /> (D REMARKS: FD' <br /> o in n <br /> 0 <br /> M LOCATION OF TEST HOLES(SHOW WELLS AND STRUCTURES) to D <br /> 7 S n <br /> I_i i—L..- _i _1--�_I - --G —i-_I_ t �, - �. .._�:-- M n <br /> vecaAnallTm satrn rewunox rrsr s¢rcx ._ rD <br /> O r ol.n.ri rvt Pa :+ <br /> O rarrwcrp _ - � <br /> (DD 1 Al Z 3�i <br /> I 4l <br /> Qj <br /> 3.39 _ <br /> N ]oir waw _ I_i I ]Aar yaw <br /> 19.15-Iq,Zq <br /> x{.45- <br /> SOIL PROFILE(IF REQUIRED) <br /> De"I Soil Type De th Soil T e De th Soil T De th Soipe De th Soil T <br /> 0 -3' -13 caA%-i <br /> 3- s1 r ' <br /> 13-16' . s;1+ <br /> F�&t s:l+ <br /> Test Hole#1 S All o u I Test Hole#2 144e <br /> Parcel: Diameter 4 in De the 3.3q 1 i Parcel: I I Diameter. Iz in I Depth: 5Y <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> --4*.00 �f.yl 04:02 14.32 1`1.13 <br /> A:3U x(.21 a:32._ ta.31 .IQ Ict.09 <br /> I�:vo y.zZ .01 — Iv:o 101.3 z ip <br /> 1 :30 4.23 .01 106%32 I .3 SS !`t.If <br /> IT—64 <br /> ll: o y,23 — 19.z zz I .03 <br /> t2:oo y.z3 — — 12:02 1 zqz6I 14.13 <br /> 12:30 4.2'i 01 1 — I7-:32 Ia.Zq 16 1p• 2 <br /> I.-Do u•ZN — t:oZ 1 .30 g <br /> PERCOLATION RATE: 260 min/in PERCOLATION RATE: I .46 mintin <br /> RECOMMENDED SEPTIC AR RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone:(togs Date IZ66/2-0 <br /> TEST CERTIFIED BY: Phone: Date <br /> OBSERVED BY(RENS): Phone Date I <br /> PERC TEST RATE FORM <br /> EHD 42-03 REV 71/2/09 <br /> 7.77 <br /> rD <br /> n <br /> t O <br /> sZ <br /> D <br /> to <br /> • / / 00 <br /> O <br /> N <br /> LD <br /> LJT <br /> I.0 <br /> O) <br /> UL7 <br /> (D <br /> F- <br /> O <br /> 1, <br /> N <br />