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HUUr1r_00 %Jt1 LVUHI IUIV. <br /> .DWNER: �� <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> REMARKS: r"._:i;t`• <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> '_ . 4 5' Q <br /> A* <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Tye Depth Soil Type Depth Soil Ty e Depth Soil Tye Depth Soil Type <br /> TEST HOLE #1 DIAMETER: In DEPTH: In TEST HOLE#2 DIAMETER: In DEPTH: In <br /> TIME READING WATER REFFILLED TEAE READING WATER REFFILLED <br /> DROP DROP <br /> o fir` 4 co <br /> 2DO L4 .yg a. �tp iD'.,52. Dy' ;� .co_ o LA 3g <br /> LA <br /> Da <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED By..�..,...� ;�:'R.,'��"�`'�_ �`�.� ; •ra Phone: 7U Date: G <br /> TEST CERIFI.ED B Phone: n 7' ?G Date: <br /> OBSERVED BY(REHS): Phone: Date: <br /> EHD003 <br /> REVISED <br /> EV C)✓1 S, l(�.'V V/ L/ PERC TEST RATE FORM Ic <br /> REVISEDSED 55/7/02 � JQ <br /> oaued Q100yw a-(Nitc.. .SsC'e*) Cbc,(d wv1` 017 r-eo-4_/-r-, ( fty)5,?J e ,-/ <br /> (25 &fse5I C <br />