Laserfiche WebLink
ADDRESS OR LOCATION: I��U� SEI:�)u>�Q 9A APN: <br /> OWNER: 6RAj� DATE: <br /> APPLICATION #: DEPTH TO FIRST WATER: tt SOIL TYPE: <br /> 6 hour test 1 hourtest <br /> 30/(12'LastWater Drop) 101(12'LastWater Drop( <br /> REMARKS: <br /> s Deep less than ar=00 Zr'A <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) s shaoow asst an or=60 mi n <br /> 1 177 <br /> L <br /> SOIL PROFILE (IF REQUIRED) <br /> De th Soil Type Depth Soil Ty e Depth Soil Tye Depth Soil Type Depth SoilType <br /> L <br /> L TEST HOLE#3 DIAMETER: (' in DEPTH:Z3•S.5— TEST HOLE#q DIAMETER: LA in DEPTH: 3 S/ tF� <br /> F— WATER ' WATER <br /> TIME READING DROP REFFILLED TIME READING DROP REFFIILED <br /> i', & 2K�5 � Zj/ 2 S' 9 11 -!�,--' --- �-, � <br /> Will ? yesc. Z� L S � S�' � S- L <br /> ? k 7-f' p Zk. zr� t .S , �ti � 0,0 3' S <br /> IZ ; 4ti `' 0, 01 / <br /> PERCOLATION RATE: I1 (D �' nurtlin PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: o a4i S Phone: Z(��/-7�Z� - 34.�� Date: d.(c <br /> TEST CERIFIED BY: Phone: 56 / — (j ( ' <br /> 0 1 Date: -r�"-06 <br /> OBSERVED BY(REHS): Phone:�f!l23j ZZO Date: 3 2$ OG <br /> EHD 42-02-003 PERC TEST RATE FORM Ic <br /> REVISED 5n/o2 <br />