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ADDRESS OR LOCATION: l3�, rG .� �1 k APN: <br />r e v <br />— OWNER: i C � r DATE:_ }� J <br />APPLICATION #: TH TO FIRST WATER: It SOIL TYPE: — <br />REMARKS: F�12 <br />test :hour test <br />Weter Drg 1101112'Lasl Waler Ooo <br />ee less than or=30 nnhn <br />y LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) ha owlesstFanoaSpminin <br />Y T7—f" - <br />— <br />— <br />- <br />— <br />SOIL PROFILE (IF REQUIRED) <br />FEST HOLE #1 DIAMETER: in DEPTH: in <br />TIME <br />READING <br />WATER <br />DROP <br />REFFILLED <br />i <br />41 <br />N�,i� <br />5r o� <br />v <br />O.J <br />+q5 <br />'05 <br />e-- <br />X2.:3 � <br />/—�• X15 <br />, v 7 <br />c <br />I=o�� <br />L)L <br />PERCOLATION RATE: n n „ r T tnin/in <br />r RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: <br />— TEST CERIFIED BY: <br />OBSERVED BY (REHS iI' /G4'%' jr- <br />- <br />EHD 42-02-003 <br />REVISED 5P!02 <br />TEST HOLE #2 DIAME��n DEPTH: IH <br />TIME <br />READING <br />WATER <br />DROP <br />REFFILLED <br />41 <br />N�,i� <br />5r o� <br />v <br />O.J <br />+q5 <br />'05 <br />e-- <br />X2.:3 � <br />/—�• X15 <br />, v 7 <br />c <br />I=o�� <br />L)L <br />PERCOLATION RATE: `a min/in <br />RECOMMENDED SEPTIC AREA: <br />Phone: Date: <br />Phone: / /7 Q / Date: <br />,Z,�' <br />Z' Z il <br />Phone: i;' ' % �r Date: <br />ll- <br />/'_4--- IL✓.ds y _Li"5�'� D <br />PERC TEST RATE FORM I c <br />