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kuuht55 V15 �vL Hl IIJIV: <br /> )WNER: — DATE: <br /> APPLICATION #: DEPTH TO FIRST WATER' ft SOILTYPE' <br /> REMARKS: rn'�I" :� . 5 �'3t.�:�.}�I N U ( ,�,N.Cr.I•J6�L- <br /> - `Z v LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> 4 � <br /> SOIL PROFILE(IFREQUiRED) Will <br /> De th Soil T e De th Soil T e Do in Soil T e Depth Soil Ty e De th Soil T e <br /> in TEST HOLE#2 DIAMETER: in DEPTH: In <br /> TEST HOLE#1 DIAMETER; in DEPTH: <br /> WATERWATER REFFILLED <br /> TIME READING R> h'FTLLPll TIIvvIE READING DROP <br /> DROP <br /> U ?�.2'� <br /> Lj <br /> it <br /> C) .lU ii <br /> min/in <br /> PERCOLATION RATE <br /> min/ill pFAi OIATIONRATE: <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> Phone: (fl Date: 45f �C('a� <br /> TEST PERFORMED BY <br /> !'}Zone; � �7j _ Date: <br /> TEST'cp-RIFIIJD BY: <br /> Phone: Date: <br /> OaSEF.VfiI)BY(RI✓HS): <br /> n I pERC TEST RATE.FORMIC <br /> F1iA 42-02-003 <br /> RP.VISEu 5/7102 <br /> Polo ttx(cf c^v C o h/P1, 4e 17'_ Lcf-F lwi S(ate� U- <br /> b0/E0 39Vd O�JIJAN3 NOSa3GNV 3I3N 8ZZP69660Z 9T:bT S00Z/6T/80 <br />