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ADDRESS OR LOCATION: u S IAPN: <br /> OWNER: I DATE: <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> REMARKS: J / <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) <br /> J!" <br /> LLj—Lj <br /> SOIL PROFILE (IF REQUIRED) r-fOj <br /> DepthSoil Type Depth Soil Ty e F Depth Soil Type ---Depth--J. Soil Type Depth Soil Type <br /> FEST HOLE#1 DIAMETER: in DEPTH: in TEST HOLE 42 DIAMETER: in DEPTH: in <br /> WATER WATER <br /> TIME READING DROP DROP REFILLED TIME READING REFILLED <br /> H3 �� a ' "�/ <br /> , q7 3, /9 <br /> /0 .yr 3 yo 0 <br /> 3 3 <br /> -3, <br /> 31 Al 3, A) <br /> 416 <br /> PERCOLATION RATE: —min/in PERCOLATION RATE: <br /> RECONENIENDED SEPT AREA: RECONaIENDED,SEPTIC AREA: <br /> FEST PERFORMED BY: Phone: Date 0,5�' <br /> SEPT C A, <br /> 3y_ <br /> TEST CERTIFIED BY4 Phone: Dat, <br /> JBSERVED BY(REHS Phone Z,- Date <br /> :-FID 42-02-003 PERC TEST RATE FORMIC <br /> DEvjsCf)5/7/02 <br />