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ADDRESS OR LOCATION: ����� (yfwToL COQ APN: <br /> OWNER: 4° y �-()Vftr uIave hOusc DATE: ) �� �n <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOILTYPE: <br /> 4 hour test 1bDurtest <br /> REMARKS: 30/(12'Last Wasaaop) 101(12•Lost Me Drop) <br /> Deep less than or=30 miNn <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) Shallory le slhan w=60mNm <br /> 1. <br /> r <br /> r 7-0 <br /> SOIL PROFILE (IF REQUIRED) y <br /> Depth Soil T e I Depth Soil Type Depth Soil Tvpe I Depth I Soil-Tv-p-e-T Depth Soil TVDe <br /> TEST HOLE#1 DIAMETER: g in DEPTH:, y Soin TEST HOLE#2 DIAMETER: _in DEPTH: 3i to' in <br /> TIME READING D OPR REFFILLED TIME READING ATTR REFFILLED <br /> OA 00 P� 2y, y 9. 65 p� y y, IY3 <br /> L 1 30 yr99 r S9 23, �`/ 73.S y `l3 <br /> l0 ,OD R 3 .98 , 041 C23 , 79 /01-05' I 11, 3' , Oy 4/1 39' <br /> .0 i 3D 1711. 2 <br /> L 0-) .2,q, Y.< <br /> 3a ;K3t 79 f o4 ;3 , 79 1/ . 3 !r 137 39 <br /> : Ay. os , ;z6 /zoo q, 3q y. 39 <br /> L /�3o y. A6 .�I Ay, /aa 3 <br /> Iq <br /> L <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> L. <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> LTEST PERFORMED BY: Phone:_10b -0 3PY Date: -3-,AS-0 <br /> TEST CERIFIED BY: Phone: 36� 70 1 Date: <br /> L <br /> OBSERVED BY(REHS): t Phone: Date: �j Zpj-,36- <br /> E11D 42-02-003 PERC TEST RATE FORM Ic <br /> f L REVISED 5/7/02 <br />