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ADDRESS OR LOCATION: I Z'!,t� E �r I In -+. T' APN: <br /> OWNER: fy)of It7nS DATE: <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> 4hour test Thar lest <br /> REMARKS: 30/(12'LastWater Dmp) 101(12' astWater Dmp) <br /> deep must he less than 30 deep must be less than 30 <br /> f'+ LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) sh 'a"Tusthe less bar 6D shalm must be less Char 60 <br /> I S,II Z. <br /> SOIL PROFILE (IF REOUIRED)VJn l 1221o1, 12e4+11 ZZ Z`�, <br /> Depth Soil Tye Depth Soil Tye Depth Soil Type Depth Soil Type Depth Soil Type <br /> TEST HOLE #1 DIAMETER: y In DEPTH: 275 In TEST HOLE #2 DIAMETER: LA ID DEPTH: 281 in <br /> TIME READING WATER DROP REFFILLED TIME READING DROP WATER REFFILLED- <br /> cIt'.oq 22.Loz ��`` 9`.a5 <br /> I[3 1. - ccl 2Z.1v2 10'.2,5 21.1x 0 <br /> � I .3 'it - <br /> 12 T7-.tot <br /> 12'.3 22.t0Z <br /> I: apt 22.l�Z �_��__ I •.o� 21 .�c� � ... <br /> PERCOLATION RATE: l< r! PERCOLATION RATE: nun <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: %!, Cj+,,,L'!,t-tL Phone: 7L11^511x3 Date: 10'31- 05 <br /> TEST CERIFIED Phone: �{��—��0 Date: <br /> ` OBSERVED BY( <br /> Phone `3"Y'✓r` s' ✓"j`^"'`Date: ,�=,'`''>``.'s..a°"�y <br /> EHD 42-02-003 /'t!='t^'r^i'✓"'�c.a`""¢ C F•'�,r, 'a, Jp6/ ` ERC ST RATE FORM I <br /> REVISED 5/7/02 6 _ / <br />