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ADDRESS OR LOCATION: A P N: 70 � 0 - <br /> OWNER: tA <br /> k:�� L S DATE: <br /> APPLICATION`` <br /> PPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> REMARKS: LD (,p <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> 301L PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Iepth Soil Type Depth Soil Type Depth Soil Type <br /> FEST HOLE#1 * DIAMETER: in DEPTH: Li I in TEST HOLE#2 DIAMETER: in DEPTH: in <br /> TIME READING WATER REFILLED TirviE READING WATER <br /> DROP DROP REFILLED <br /> q <br /> DfLj <br /> lb, 0c) cj: C) 3. 10 K <br /> 10: 30 <br /> I DD C, <br /> iI 30 Dv,,Ll I <br /> DO CA <br /> Q- 30 tcj > <br /> PERCOLATION RATE: l r,,-i,/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOININIENDED SEPTIC AREA: <br /> PEST PERFORMED BY: <1 Phone: Date Cl <br /> TEST CERTIFIED BY: v Phone: J J7y Date <br /> .)BSERVT-D BY(R-EHS): Phone Date <br /> -:FID 42-02-003 PERC TEST RATE FORMIc <br /> tEVISED 5/7102 <br />