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ADDRESS OR LOCATION: D LI Lo b `reh) ,,,v APN: IT C) — l�C . 1 9 <br /> nn <br /> OWNER: t"C1 Aj t. DATE: Z /jO`s <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> t� } 4 hour test 1 hour test <br /> REMARKS: 30/(12'LastWater Drop) j 10/(12'Last Water Drop) <br /> 2 Deep less than or=30 min/in <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) a Shallow less than or=Wminin <br /> I RL <br /> SOIL PROFILE (IF REQUIRED) ?-z rAL� <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> TEST HOLE #1 DIAMETER: —1 in DEPTH: ('12 in TEST HOLE #2 DIAMETER: _Lin DEPTH: Z3& in <br /> WATER <br /> TIME READING WATER DROP REFFILLED Timi--, READING DROP REFFILLED <br /> 1Z'.3Scl <br /> I <br /> PERCOLATION RATE: c:� _ y min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: Date: <br /> TEST CERIFIED BY: Phone: Date: <br /> OBSERVED BY( Phone:`s'"`Ss� S Date: S� — <br /> EHD 42-02-003 PERC TEST RATE FORM Ic <br /> REVISED 5/7/02 <br />