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1-\LJ1JhLSJ UH LUUAI IUIV: \ f� AF'N: / <br /> OWNER: �l �� S NA DATE: � ` �I' 09 <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> 4 hour test 1 hour test <br /> �- REMARKS: 30/(12Last Water Drop) 10/(12'Last Water Drop! <br /> Deep less than or=30 min/in <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) a Shallow essthanor=60 miJIn <br /> 77 <br /> SOIL PROFILE (IF REQUIRED) i <br /> P <br /> epth 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 DROP REFFILLED TINIF READING DROPWATER REFFILLED <br /> 3 <br /> qo <br /> PY <br /> Z_P br . �s 5 % 30 <br /> PERCOLATION RATE: 77 r Lj min/in PERCOLATION RATE: mitvin <br /> RECOMMENDED SE*AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED B � P67` G Date:TEST CERIFIED B Phone: D— S1y�Z Date:OBSERVED BY (RENSPhone: 5 3 76f� Date: <br /> EHD 42-02-003 r PERC TEST RATE FORM Ic <br /> REVISED 5/7/02 <br />