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CESS OR LOCATION: Z <br /> `IER: f h��f� t r� <br /> DATE: �I31'' 3 <br /> =LICATION #: <br /> DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> ARKS: <br /> LOCATION OF TEST HOLES SHow WELLS AND STRUCTURES <br /> i <br /> _ 1 ! I i► ! I I i I I <br /> I <br /> IL PROFILE (IF REQUIRED) � <br /> ie th Soil T e De th Soil T e De th Soil T e Depth Soil T e De th Soil T e <br /> _ <br /> JT HOS#1 DIAMETER: in DEPTH: In TEST HOLE#2 DIAMETER: in DEPTH: in <br /> S WATERWATER REFILLED <br /> TIME READING REFILLED TIME READING DROP <br /> _ DROP <br /> LO;m S.12: I— (O 2 I-7,J <br /> VIA. <br /> p,;S� <br /> ' nom o 5- <br /> q, <br /> _.` <br /> J•`J� min/in PERCOLATION RATE: `' min/in <br /> PERCOLATION RATE: <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: <br /> Phone: Date <br /> Phone: Date <br /> -TEST CERTIFIED BY: <br /> OBSERVED BY(REHS . <br /> Phone Date <br /> 4 FERC TEST RATE FORMIC <br /> - LkiDdZ-Ol•003 �: 30 - 3-V - O•`rs _ �,3�_ l." Z - !�- �3 - G •Yo !� 3$ <br /> REVISED 5n/2002 7• A?, <br />