Laserfiche WebLink
HUUFit55 Uti LUl Hl IUIV: ? ' a ? rlriv. 4—v <br /> DWNER: r:r" I C' :_t �;q. DATE: '/ b/0 <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> REMARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> SOIL PROFILE (IF REQUIRED) ''r;''' <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> TEST HOLE #1 DIAMETER: H in DEPTH: Z'-'1l4' in TEST HOLE #2 DIAMETER: in DEPTH: in <br /> WATER <br /> TIME READING WATER DROP RE'FFILLED TIME READING DROP REFFILLED <br /> r-y ✓'1t <br /> PERCOLATION RATE: --° min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: E <br /> "✓.1 �..., Phone:?,Db� T,`� 0 4 <br /> TEST PERFORMED BY: ,�.�..�d�( w� B >,-���� .� 1 t Date: <br /> TEST CERIFIED BY: Phone: 5E7/'3t>O Date: <br /> OBSERVED BY(REHS): � Phone: ��'�� Date: G� <br /> EHD 42-02-003 PERC TEST RATE FORM 1 c <br /> REVISED 5/7/02 <br />