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ADDRESS OR LOCATION: 3i✓�S✓� Tf�/�1f(GAQ%NGl/Z DfZ JApN: =253-I4O— O� <br /> OWNER: /Z , Ra551-`LL DATE: *A.V 2z9oS <br /> APPLICATION #: 10A-D 4-0417 DEPTH TO FIRST WATER: v It SOIL TYPE: J�E Leo t•J <br /> REMARKS:_ EARCEZ J <br /> LOCATION OF TEST HOLES SHow WELLS AND STRUCTURES <br /> I <br /> - _ <br /> I — <br /> SOIL PROFILE(IF REQUIRED) <br /> L= LEA wI elA ML< <[tT f - ';/LTU -'- <br /> De th Soil Type Depth I Soil T e I De th I Soil Tvnp. I r).7th I Soil T". T De th Soil T e <br /> 16 " G <br /> TEST HOLE#1 DIAMETER: S in DEPTH: _Z In TEST HOLE#2 DIAMETER: In DEPTH: in <br /> TIME READING WATER REFILLED TIME READING WATER REFILLED <br /> DROP DROP <br /> 9' 2 4,40 9 7, 3s <br /> q: 2 4.69' 2. 52" 4 45 ' ;4 95-0 <br /> /0 ; 17- ('s 2,40/f 453 ' /d-/ q•167,/ 05,Zo" <br /> /0: 2 6o1 / 801' 4, 53' 0 : 44 747 , 6, 2e <br /> 7/ ' 60 ,3(0" 031 <br /> 4.&-7' / &o f .4g' 2 ; 14 9,576p' 6, 3&'1 -00' <br /> lZ : Z 4, 6 / 9Z " 4,42' /2 %44 S <br /> 4. 51 <br /> PERCOLATION RATE: /O. 7 min/in PERCOLATION RATE: 4, 7 min/in <br /> RECOMMENDED SEPTIC A: DGPEND( oN 14. of RECOMMENDED SEPTIC AREA: N. of <br /> � �4noM5 <br /> TEST PERFORMED BY: Aft <br /> o4al rnfQ/ Phone: GGg-/.jo) Date <br /> TEST CERTIFIED BY: n tN Phone: Date <br /> OBSERVED BY(REHS): Phone Date �- <br /> EFID 42-02-003 PERC TEST RATE FORM Ic <br /> REVISED 5/7/02 <br />