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OWNER: W n D � � � � �^' � DATE: /� <br /> 4 <br /> APPLICATION #: DEPTH TO FIRST WATER: it SOIL TYPE: <br /> 4 hour test 1 hour test <br /> REMARKS: YcG 301{12'Last Water Drop) 101it2'LaslWater_ne� <br /> _ Deep less than or=30 minlin <br /> a <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) Shallow less than or=00 minfn <br /> I J- <br /> F191, <br /> lam) <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: in TEST HOLE #2 DIAMETER: In DEPT 3� In <br /> TIME READING WATER REFFII LED TIME READING WATER REFFILLED <br /> _ DROP DROP <br /> Z/f <br /> qzl& z7ls-0 -35- <br /> 3-.2 <br /> 75 <br /> PERCOLATION RATE: min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEP AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Xla � ��— Date: /O 0 <br /> TEST CERIFIED B. Phone: �`� Date: <br /> OBSERVED BY (REHS): t; 'rte- Phone: Dat DatL'" <br /> EHD 42-02-003 PERC TEST RATE FORMIC <br /> REVISED 5!7/02 <br /> l/. <br /> SZL.�.0 <br />