Laserfiche WebLink
G <br />rcr[t.vLA t IUIV TEST RATE <br />.ADDRESS OR LOCAnON:. %�i'<-'� 5`�T ' iL:_- CITY'. _%� �•O.'� �%i "�' F% <br />J ,f �---_. --- —. <br />• OWNER NAME:ii LlAl/�i' �DATE:.•'1_;�',� <br />r APN: �p 3 at D - I (d APPLICATION: DEPTH TO FIRST WATER: FI <br />SOIL TYPE:— <br />..., REMARKS: ,,-y rn� moi.: v` -•..E'- Z;: ' S�E."a�?Ak�--`-- --- <br />- - _ TION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br />-44 <br />11TFF---jI_Pl11-11i <br />_ ,r <br />t _r <br />I-fi? r1_-� - -- - - __ - <br />Test Hole # 1 Test Hole # 2 <br />I Parcel: /l Diameter ,5- In ; Depth: �gln Parcel: Diameter. in De the in <br />TIME <br />READING <br />WATER DROP <br />REFILLED <br />pS <br />5. <br />3.GU�r <br />mss,/ <br />I <br />PERCOLATION RATE: /7 `% min/in PERCOLATION RATE: minim <br />RECOMMENDED SEPTIC A: E ?ORECOMMENDED EPTIC AREA: <br />TEST PERFORMED BY: Phone d — 01-/- Date o <br />TEST CERTIFIED BY o Phone: Date <br />OBSERVED BY (RENS) y Phone Date <br />PERC TEST RATE FORM <br />DID 42-01 REV 1 V2,09 <br />