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AUUHLbb Uh LUUAI IUIN: <br /> OWNER: C��•v < ':::,�f � DATE: 1A'/c <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> REMARKS: Lo� <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> t u <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Type DepthSoil 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 /> war <br /> ? r, „7 w 1, <br /> HLA <br /> ; <br /> PERCOLATION RATE: a1� ' p-�—min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: �4 "f ,;� :r Phone(?34'j � � . ` M, Date: �V(,i/ ;t <br /> TEST CERIFIED BY: Phone: Date: <br /> Date: <br /> OBSERVED BY (RENS): Lln� - Phone: Date: �� 4��� <br /> ,. <br /> EHD 42-02-003 PERC TEST RATE FORM 1 c <br /> REVISED 5/7/02 <br /> t Z' 41, - <br />