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OWNER: t f �S DATE: <br /> APPLICATION #: DEPTH TO FIRST WATER: ;t SOILTYPE: <br /> 4 hour test 1 hour test <br /> REMARKS: 301(12'Last Water Drop) 1 101(12'Last Water Drop) <br /> r. 2--Deep less than or=3o minfin <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) 9-1 Shallow less than or=Gominlin <br /> x, 14 1 :: _ <br /> n <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: �,r in DEPTH: Zr- /1 in TEST HOLE #2 DIAMETER: Ill DEPTH: in <br /> TIME READING DROP WATER REFFII LED TUI1E READING DROP WATER REFFILLED <br /> q <br /> i <br /> Z,/; ql /�, f /c 02 Zf /to <br /> 1030 <br /> 40a 7oo <br /> Z//93 <br /> PERCOLATION RATE: � 0 min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTI A: RECOMMENDED SEPTIC AREA: / <br /> TEST PERFORMED BY: <br /> Phone: Date: – 0-11 <br /> TEST CERIFIED Phone: Date: C <br /> OBSERVED B (REHS): lT'' <br /> Phone: Date: <br /> EHD 42-02-003 f PERC TEST RATE FORM 1c <br /> REVISED 5n102 } <br />