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OWNER ?;66y��rt�„t ADDRESS OR LOCATI QLu rdI,, S Tz p <br /> P.M. or S. NUMBE R: W1 S $� 3 I_ DATE: <br /> SOIL PROFILE <br /> DEPTH TO FIRST WATER, SIZE OF HOLE: ( ( IF REQUIRED) <br /> SOIL TYPE: Jutcc.�.� 1 '2 1 <br /> REMARKS: —_--- --- 3' <br /> 4' <br /> LOCATION OF TEST HOLES ON PROPERTY 5' <br /> (SHOW ANY WELLS AND STRUCTURES) 6' <br /> 7' <br /> 8' <br /> I <br /> f <br /> I Il0t F TEST HOLE #2 <br /> _ <br /> iiI�1E REACiIWG 1 WAILk ld I1I TIME READING W1TEL DROP ' REFILLED <br /> j1/ :00 3 ?, Toy to <br /> 121,00 3. (0o &o <br /> 12.E D =`1, 7� Asa <br /> PERCOLATION RATE: (v0 ,M,.:-.� PERCOLATION RATE: <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> l 2� ow s, F. <br /> TEST PERFORMED BY: G ((-""V�vJ TEST CERTIFIED BY: <br /> OBSERVED BY (SANITARIAN) - (R.C.E. or R.S. 3.7033 <br />