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AUUHI=55V rwtHl IUIN: APN: <br /> J <br /> OWNER: )k-(WA DATE: <br /> APPLICATIO N#: DEPTH TO FIRST WATER: ft SOILTYPE: <br /> 4hourtest 1hourtest <br /> �- REMARKS: 301(12 LestWatarDmp) 1a1p2•LasIWa<eDnx, <br /> Oeep less than or-30 min4n <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) Shallawlesslhanar=60minrn <br /> U <br /> SOIL PROM LE(IF REQUIRED) <br /> De th Sail T pe Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Ty e <br /> TEST HOLE 4P) DIAMETER: in DEPTH: in TEST HOLE DIAMETER: in DEPTH: in <br /> 1' WATER <br /> TIME READING WATER ME DROP REFFILLED TIREADING DROP REFFII LED <br /> 211,9 <br /> 3 � 7.�76 � l� 0 ' ]/�' 1-fS <br /> o . LIS ` 2 1.3 <br /> to Lf 0 <br /> 3 - -c) v 3. 7 <br /> PERCOLATION RATE: L�. S > min/in PERCOLATION RATE: / �" min/in <br /> t <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: C f) Phone: �ct <br /> _ -7 <br /> TEST CERIFIED BY: hone:_ 367 3�/ Date: 5'— <br /> OBSERVED <br /> —OBSERVED BY(RENS . Phone: IVY Date: 15 <br /> EYD 42-02-003 i PERC TEST RAPE FORMk <br /> REVISED 5n102 <br />