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DRESS OR LOCATION: PN: <br /> VNER: DATE: <br /> — 'PLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> :MARKS: <br /> LOCATION OF TEST HOLES SHOW WELLS AND STRUCTURES <br /> i ► � i ' I I I1 ! ll ! <br /> l i ( l i ! ► i i <br /> I I ► <br /> i Ili I�Ilil i <br /> - <br /> -1 <br /> ;L PROFILE (IF REQUIRED) Aj 100(t 0Wt , at W,0S— w orwl 16,Yc�f- <br /> De th Soil T e De th Soil T e Depth Soil type Depth Soil T e Depth Soil Type <br /> ST <br /> .ST HOLE#,*DIAMETER: in DEPTH: in TEST HOLE#16 DIAMETER: Z in DEPTH: in <br /> WATER WATER REFILLED <br /> TIME READING DROP REFILLED TIME READING DROP <br /> Ts <br /> 5, 0 <br /> 74 <br /> T� 1 <br /> PERCOLATION RATE: ` \,mi1ji ' PERCOLATIOi`1 RATE: lQ, � minTn <br /> RECONINIENDED SEPTIC AREA: RECONINIENDED SEPTIC AREA: <br /> �. TEST PERFORNIED BY: Phone: Date <br /> TESL'CERTIFIED BY: Phone: — Date <br /> OBSERVED BY(REHS): Phone Date _— <br /> PI;RC TEST RA 1: t <br /> El ID 42 01 <br /> REVISED 5/712002 ��/� <br />