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ADDRESS OR LOCATION: 1 �v I $� 3 ��?-� �� 1 � ' +�� APN: <br /> �� DATE: Z2 OlP <br /> OWNER: �- <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> 4 hLeetest lhourtea <br /> REMARKS: P ��L 301112'Lasl Wata, ) 101(12't t%Jer Drop) <br /> Deep less than or=30 no N,o <br /> Shallow less Than or=60 nuMh <br /> — LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> — <br /> C <br /> — SOIL PROFILE (IF REQUIRED) <br /> De th 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 /> — 2 s{— WATER <br /> TIME READING DROP RE FII.LED TIME READING DROP REFFILLED <br /> 1p. S+ 04— <br /> Z U <br /> 04—'U 2- 14Z ( A- l `5, � � <br /> tv <br /> o <br /> _ llC., 7s . `l l 'J 2S . � S 1�= 32� • 7S <br /> 12:0 Z5 - '7' 2 I2:o� �.�Z Z- �- <br /> - �a� t-a =av •ate sa 3 y <br /> PERCOLATION RATE: a. j in/in PERCOLATION RATE: mini <br /> RECOMMENDED SEPTIC AREA. ✓ RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMEDBY: RkPhone: Z � , 1 _ Date: 2i - Z-2 . v <br /> TEST CERIFIED BY: Phone: X� —�7� Date: <br /> OBSERVED BY(RE Phone: Date:—f-��—OC- <br /> i <br /> EHD 42-02-003 PERC TEST RATE FORM 1. <br /> REVISED 5/7/02 <br /> r <br />