Laserfiche WebLink
A DDRESS OR LOCATION: J) !C1 APN: <br /> WNER: Sr SIGy�n t� DATE: 7I2/tJUGe <br /> PPLICATION #: VA _1�e DEPTH TO FIRST WATER: 2,cf' 17.(e- ft SOIL TYPE. �4 <br /> EMARKS: ..'.Li:.. ( I _ <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES <br /> 1 I ( <br /> x <br /> SIL PROFILE (IF REQUIRED) <br /> Depth Soil Tye ! Deoch I Soil TVPe Death I Soil Type Depth I Soil Type I Depth- <br /> Soil Tvwe <br /> I I I I <br /> :ST HOLE #1 DIAMETER: in DEPTH: in TEST HOLE #2 DIAMETER: in DEPTH: in <br /> WATER WATER REFILLED <br /> TIME READING DROP REFILLED TIMEREADING DROP <br /> Z , <br /> Le i . ZI • � <br /> ' 3 , 62 <br /> 'PERCOLATION RATE: H 2 minlin PERCOLATION RATE: (? C' min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA:,�'-'`-' ,/ <br /> Phone: :c�E ? `VG ! Date <br /> "GEST PERFORMED BY: �R I' �q r!''� _ - <br /> ! <br /> -TEST CERTIFIED BY.----, 'LCtc 4_ 2? 1 Phone: \LJI) 3�/-�G6// Date oG T <br /> OBSERVED BY(REHS : / _ Phone Date <br /> PERC TEST RATE FORMIC <br /> _EI ID 12-01-003 <br /> REVISED 5/712002 <br />