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AUL)HtzbJ UH LUUAI IUN: ANN: <br /> OWNER: DATE: <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> 4 hour test 1 hour test <br /> - REMARKS: 30!(12'Last WaterDrop) 101(12'Last Water Drop) <br /> Deep less than or=30 min/in <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) F shallow less than or=60min/in <br /> r <br /> s <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> TEST HOLE #1 DIAMETER: In DEPTH: In TEST HOLE #2 DIAMETER: In DEPTH: in <br /> TIME READING WATER REFFILLED Tfw READING WATER REFFI�LED <br /> DROP DROP <br /> q ' 7r3d . 63 �, )-j <br /> /,fir' /, acy S 755' <br /> 71 gt I "I <br /> TI I, v2 <br /> 3 ' �\ 33 <br /> 1l y. 7 / �o;L � � yo <br /> S2, <br /> PERCOLATION RATE: 7 min/in PERCOLATION RATE: min in <br /> RECOMMENDED SEPTI AREA: RECOMMENDED SEPTIC AREA: / <br /> TEST PERFORMED BY: Phone: �Q � �-- Date: <br /> TEST CERIFIED BY: Phone: "7- 376 Date: <br /> OBSERVED BY(RENS) Phone: �6fG Date: t <br /> EHD 42-02-003 r PERC TEST RATE FORM Ic <br /> REVISED 5/7/02 <br />