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ADDRESS OR LOCATION: I 10 S-• M �� a. � APN: -Z-� 15 <br /> = -2. <br /> c.- <br /> OWNER:_ ,�� DATE: — Z — <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOILTYPE: <br /> ii __`` 4 hour test 1 hour test <br /> REMARKS: L1Jt Ilo ,^ / 30/(12'Last Water Drop) 10/(12'Last Water Drop) <br /> deep must be less than 30 deep must be less than 30 <br /> 4 W LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) shallow must be less than 60 shallow must be less than 60 <br /> SOIL PROFILE (IF REQUIRED) <br /> �e ,t .'� <br /> Depth Soil 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 /> WATER <br /> TIME READING WATER DROP REFFILLED TIME READING DROP REFFILLED <br /> y3 'l <br /> ' <br /> L4 Stocru <br /> LA 2-1 <br /> i <br /> PERCOLATION RATE: 735 min/in PERCOLATION RATE: min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: .'�F.' "1. n f Phone:l2 `^+ � � -5 1Cg Date: q/Z J'j"y <br /> TEST CERIFIED B Phone: �`� Date: <br /> OBSERVED BY RE Phon �S�S'G�3�-mss Date: <br /> EHD 42-02-003 I PERC TEST RATE FORM Ic <br /> REVISED 5/7/02 <br />