Laserfiche WebLink
AUUHt55 UH LUUAI IUIN: 101 rvi ;:::4 . Hri14. 4­v •!0 <br /> )WNER: DATE: <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> i <br /> SOIL PROFILE (IF REQUIRED) P <br /> DepthSoil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> TEST HOLE #1 DIAMETER: in DEPTH: in TEST HOLE#2 DIAMETER: in DEPTH: In <br /> TIME READING WATER REFFILLED TIME READING WATER REFFILLED <br /> DROP DROP <br /> j <br /> 03 <br /> PERCOLATION RATE: ' ' min/in <br /> min/in PERCOLATION RATE: <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: Phon0'Z,,` ) w � �%'.���" Date: <br /> TEST CERIFIED BY: Phone:` Date: <br /> Phone: Date: <br /> OBSERVED BY(REHS). ; 1/Lf ��_�'' <br /> EHD 42-02-003 PERC TEST RATE FORMlc <br /> REVISED 5/7/02 l� )F— XIJ� <br /> �� - 3 -ozl _ <br />