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ADDRESS OR LOCATION: I a I S S M APN: 5 <br /> P•1 <br /> OWNER: DATE: ok <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> 4 hour test 1 hour test <br /> REMARKS: 301(12•Last Water Drop) 101(12•Last Water Drop) <br /> deep must be less than 30 deep must be less than 30 <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) shallow must be less than 60 shallow must be less than 60 <br /> 3.12 R < Apt <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: `-i ill DEPTH: in TEST HOLE#2 DIAMETER: in DEPTH: in <br /> TIME READING WATER DROP REFFILLLED TIME READING DROP WATER REFFILLED <br /> - c; <br /> 30 <br /> n <br /> PJ <br /> PERCOLATION RATE: / ef'6minhn PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> _ 6 <br /> TEST PERFORMED BY: _ 1 Phones <br /> _20q m tf� "" ��� Date. 3..I p ✓± <br /> TEST CERIFIED By- Phone: �� J! / Date: <br /> OBSERVED BY( HS Phone: y3yS`S Date: <br /> I <br /> EHD 42-02-003 PERC TEST RATE FORMIC <br /> REVISED 5/7/02 <br />