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)WNER: DATE: <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> REMARKS: L04 11 <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> y �. <br /> Emm <br /> SOIL PROFILE (IF REQUIRED) (� � t( Zl •jS <br /> Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type Depth Soil Type <br /> TEST HOLE #1 DIAMETER: "1 In DEPTH: .��I in TEST HOLE #2 DIAMETER: In DEPTH: in <br /> TIME READING WATER REFFILLED TIME READING WATER REFFILLED <br /> DROP DROP <br /> D <br /> cv <br /> ►Jr. 11 Dv' ? C-o z1 <br /> 21 JO <br /> Ii =LII -�� ��-) <br /> V <br /> PERCOLATION RATE: L'I min/in PERCOLATION RATE: mill/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: v' Phone:(7�D1)) ,L_N-51 L,7 Date: qMa( ) <br /> TEST CERIFIED BY: Phone: a�'S Date: <br /> 4 <br /> OBSERVED BY (REHS , Phone: "T lo��� 3 Date: < ,7 <br /> EHD 42-02-003 PERC TEST RATE FORMIC <br /> REVISED 5/7/02 �� T <br />