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ADDRESS OR LOCATION / D 's7 - <br /> OWNER <br /> APPLICATION N0. %/S ��' G` DATE SOIL PROFILE <br /> ( II REQUIRED) <br /> DEPTH TO FIRST WATER: SIZE OF BORING : <br /> SOIL TYPE: <br /> 2 ' <br /> REMARKS : <br /> LOCATION OF TEST HOLES (SHOW WELLS & STRUCTURESS- 3 ' <br /> -Sea <br /> 8 ' <br /> 7 ' <br /> 8 ' <br /> 9 ' <br /> 10 ' <br /> Pq/'CGw� TEST HOLE itl ,L��enn�n�r� TEST HOLE tit <br /> TIME READING WATER DROP REFILLED TIME READING WATER DROP REFILLED <br /> � J <br /> 1/y Y34 <br /> /D s <br /> 29z„ <br /> llde2 <br /> 33 YZ <br /> 12310 33 " /f' 123 Jz 2- <br /> 1,50 1 ,53 V i3DS <br /> PERCOLATION RATE : ���'�� ��_ PERCOLATION RATE : /7 m, /!'G� <br /> RECOMMENDED SEPTIC AREA: /l>, bO0 Sf RECOMMENDED SEPTIC AREA : DOOSf <br /> TEST tERFORMED BY : G <br /> TEST CERTIFIED BY : <br /> OBSERVED BY (SANITARIAN) -H` <br /> 00 <br /> E!i 05 11 <br />