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�;,�OWNER: DATE: <br /> `APPLICATION #: DEPTH TO FIRST WATER: it SOIL TYPE: <br /> 4 hour test1 hour test <br /> REMARKS: 301112'Last Water Drop) 101112'Last Water Drop) <br /> ,,. Deep less than or=30 mintin <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) Shallow less than or=60miriin <br /> 77 =Z--4 - ------ <br /> Z-1 /Tj----- - <br /> I -L:]E-IL I <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:7• in TEST HOLE#2 DIAMETER: In DEPTH: In <br /> TIME WATER WATER READING DROP REFFILLED TIME READING DROP REFFILLED <br /> _ tool -7, s. <br /> Dni <br /> /2,01o� <br /> al <br /> — PERCOLATION RATE: in/in COLATION RATE: min/in <br /> RECOMMENDED SEPTI AREA: RECOMMENDED SEPTIC AREA: / <br /> TEST PERFORMED BY: Phone: Date: V <br /> TEST CERIFIED BY: 2 Phone: Date: <br /> OBSERVED BY HS): �/ ✓:� Phone:3;5 Date: <br /> EHD 42-02-003 PERC TEST RATE FORMIc <br /> REVISED 5/7/02 <br /> r. <br />