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M <br />M <br />DO <br />0 <br />CD <br />I <br />C <br />-3 45Z <br />ADDRESS OR LOCATION: 7,- <br />OWNERNAME: _Tjx e.t Ani <br />APN: —7 -EX' -(0,0 <br />SOIL TYPE.__, 6 A V <br />REMARKS: •� <br />APPLICATION M: <br />DEPTH TO FIRST WATER: Ft <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES <br />rea.oc , nrrtrst -xerce I YOImYr PVC PIP <br />2 rvc"V! I <br />— <br />=F- <br />-- <br />- <br />_ 't f RAN lmeC <br />4.56-(f.�Z <br />ReNllmel: _. <br />�-�-, <br />�— <br />Test Hole # 1 <br />Parcel: <br />Diameter: <br />y in <br />Depth: <br />TIME <br />READING <br />WATER DROP REFILLED <br />56 <br />r 7 <br />0.0d <br />01• <br />q <br />q . 55 <br />11:0 <br />11' <br />l :0 <br />�.o� <br />. 55 <br />K. s5 <br />70 <br />30 <br />2:00 <br />5.0 <br />--- <br />C�- 7 1 minlin <br />PERCOLATION RATE: <br />ENDED SEPTIC Efj <br />FORMED BY. <br />TIRED BY. <br />D BY (REHS) <br />1112109 <br />:1 <br />ole # 2 Depth i <br />FP5 a�t7�� <br />PERCOLATION RAI t: <br />RECOM END SEPTIC ARE <br />Date (0 <br />Phone: s Date <br />Phone: ' <br />Date <br />Phone n�j -%i �Q�Q O PERC TEST RATE FORM <br />U) <br />Lu <br />U <br />Q- <br />C/) <br />Fu <br />c <br />N <br />E <br />c <br />O <br />c <br />W <br />ui <br />ca <br />C <br />U) <br />ru <br />M <br />3 <br />