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ADDRESS�0R LOCATION: I���l'tJ { ����;tiPlLt' �d . APN: <br /> OWNER: DATE:_LZ -•_-- IT- <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> 4hour test 1 hour test <br /> REMARKS: C�Y�E,-I 30/(12 LastWalerDrop) 101(12 Last Water Drop) <br /> h Deep less than or=30 min/in <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) a Shallow less than or= <br /> 60 min in <br /> SOIL PROFILE (IF REQUIRED) `-{ _l.l 24•��� <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> TEST HOLE #1 DIAMETER: LA In DEPTH: 42- in TEST HOLE #2 DIAMETER: L4 in DEPTH: .3 in <br /> TIME READING WATER DROP REFFILLED rml�' READING DROPWATER REFFILLED <br /> CI:�`Z 4 stc, 4 .45 c"'! 14 G�`� ..(/7', <br /> Li <br /> 1z,;_�J � <br /> j Z:I Z, C.I•Lt rj (� -� 12�j�i '�.`� Z i . �� �y.��, <br /> ^1.' � .L1� -D <br /> PERCOLATION RATE: PCNL min/in PERCOLATION RATE: '5J C Ac 1 1_ min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phone: 7 LO Date: 12-'Z (��•/ <br /> TEST CERIFIED BY: I Phone: Date: <br /> OBSERVED BY(REHS): Phone: �� j 7Z7 Date: <br /> EHD 42-02-003 PERC TEST RATE FORM Ic <br /> REVISED 5/7/02 <br />