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I <br /> CI�,TF: <br /> U�'�1fJER: � •�o-�r�C - <br />` <br /> APFLICAI lDfJ DLPT1 I TO F1PST WATER: t 7-,O1L T`i'PE: <br /> G hour Sest i hour Sect <br /> 301(12'LasiWalerDrop) i�7f12'LzslUdalerGoo) <br /> REMARKS: = Deep lssvlhsn❑r=3Dninfin <br /> 5hakhw less Than or=64 minim <br /> LOCATION OF TEST HOLES (sHcw WELLS AND STRUCTURES) <br /> � l <br /> Fi! FTM <br /> I <br /> SOIL PROFILE (IF REQUIRED) 3, � <br /> t <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type ,Depth Sol ype <br /> TEST HOLE#1 DIAMETER: in DEPTH: 3,10 kn TEST HOLE #2 DIAMETER in DEPTH: in <br /> WATER <br /> TMWATER E READING DROP REFFILLED TIlvIE READING DROP REFPTLLED <br /> 1 - — <br /> 5, 717 <br /> 9a� 3, 75 n1 <br /> o-z- <br /> 0y <br /> �C <br /> F <br /> PERCOLATION RATE: nuJahn PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERF OR3,�ED BY: --I--{- S Spm R ly� Phone: Z o - o$'2, Date: 3 n <br /> TEST CERIEIED BY: // n rQ A k - <br /> Phone:�`7-370 ( Date: <br /> Phone: Date: <br /> OBSERVED BY(RENS): <br /> FERC TEST RATE FORMIc <br /> 7 F-RD 42-02-003 <br /> F, <br /> REVISED 517!02 ' <br />