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PERCOLATION TEST <br /> TOWNER:_ PC{ ac6l ADDRESS OR LOCATION: 1 Z 5O5 64W O-C. (Z(- <br /> f" <br /> .M.or S.NUMBER: DATE: to I L�� Q SOIL PROFILE <br /> DEPTH TO FIRST WATEIR: ftz> SIZE OF HOLE:1 5 p <br /> SOILTYPE:e M. �Jt BPS (ETA) y <br /> ¢ . I <br /> REMARKS:-i 3' <br /> rl <br /> i <br /> 4' <br /> LOCATION OF TEST HOLES ON PROPERTY 5 <br /> Show any wells or stmctures 6' <br /> T <br /> 6. <br /> 9 <br /> r I 10' <br /> n j <br /> 1 Bottom: (• Filllto: Bottom: Fill to: <br /> ( ' TEST HOLE#1 TEST HOLE#2 <br /> TIME READING1 WATER DROP " REFILL TIME READING WATER DROP " REFILL <br /> yZ 8o I - <br /> �IN• �.. <br /> W-75G ,125" N3.C� <br /> .60 iyt 7 15(a25" 2.8� <br /> N.33 Wl. � <br /> 1-;:55 Ltg21 yl•757 �Z. 56u" c2.8Q <br /> y: 2D ALa ul. -45. lq,,c%yz — <br /> I <br /> I <br /> t^ PERCOLATION RATE: PERCOLATION RATE: <br /> ' RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> TEST PERFORMED BY: I TEST CERTIFIED BY: <br /> OBSERVED BY(ENVIRO. HEALTH):� I�S�fjY�y� _(R.C.E. or R.S.#: <br /> i <br />