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DRESS OR LOCATION: 'N: <br /> VNER: DATE: Y <br /> —PLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> .MARKS: (t 4cc ' c y I� . r �c(ti C�—�— - t. I j` �� l r i <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> iI 11 II <br /> _I <br /> lI i <br /> l I I ' ( <br /> _ I l <br /> - <br /> il <br /> �i1L PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type De th Soil T e De th Soil T e <br /> --:ST HOLE#1 DIAMETER: in DEPTH: U.E in TEST HOLE#2 DIAMETER: L in DEPTH: in <br /> WATER NATER REFILLED <br /> TwE READING DROP REFILLED TIME READING DROP <br /> It <br /> PERCOLATION RATE: ��o �o tifV� �r 1qi tin/in PERCOLATION RATE: minrn <br /> RECOMMENDED SEPTIC ARE RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date <br /> TEST CERTIFIED BY: 05 Rhone: Date — <br /> OBSERVED BY(REH ): / — Phone DateETID 42 01-003 7— <br /> FERC TE-ST RATE FOP-"ic <br /> am REVISED 5/712002 <br /> 2 G4 <br />