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OWNER AUDRLSS OR LOCAL 1 U �� O <br /> N4CT�A 1?4 <br /> P.M. or S. UMBER: _DATE: (01121 ©3 <br /> DEPTH TO FIRST WATER, SOIL PROFILI <br /> SIZE OF HOLE: __ ( IFF REQUIRED)_ L <br /> SOIL TYPE: ;�i, i's. E s•r ) w r i 1 ! 11Q t .i'fJ <br /> • ' <br /> REMARKS: )o 2 • 1+ <br /> —_. <br /> 3' <br /> lyLa i s�" <br /> 4' <br /> LOCATION OF TEST HOLES ON PROPERTY 5' <br /> (SHOW ANY WELLS AND STRUCTURES) 5' - <br /> 81 <br /> /.2 <br /> F <br /> 3.0 <br /> tt <br /> -_is <br /> i <br /> ' - =1 • �ID <br /> TEST HOLE N1 P' TEST HOLE 12 <br /> WATER R R REFILLED <br /> 0 � 3 • �1 Z: y S 3 <br /> t : 00 3 . �a3 ' /:o57 q, 151 .�-I� ,(o <br /> TL q i0 3. 5`i' 1 :115 Ll. 13, <br /> R i : 3D L1 . 0-1 3 . (oI : 36 -o-l' .�� <br /> 1_1 Lj_c)q <br /> —PERCOLATION RATE: 1a+� ,�A PERCOLATION RATE: 10 r�.'r. 15.SI tet <br /> RECOMMENDED SEWAGE DISPOSAL AREA: RECOMMENDED SEWAGE DISPOSAL AREA: <br /> TEST PERFORMED BY: ,r� ', `s `' TEST CERTIFIED BY! _ <br /> —OBSERVED BY (SANITARIAN) (R-.C.E. or R.S. 0 <br /> Elf 13 11 --- — _ <br />