Laserfiche WebLink
ADDRESS ORn LOCATION: I o 1 S APN: 2-o <br /> OWNER: I" DATE: <br /> APPLICATION #: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> 4 hour test 1 hour test <br /> REMARKS:_ p� 23 30/(12'LastWater Drop) 10l(12'Last Water Drop) <br /> I Deep less than or=30 <br /> S hc� v 3,, LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES) Shallowlessthanor=sD <br /> e p <br /> �. <br /> SOIL PROFILE (IF REQUIRED) <br /> Depth Soil Type Depth Soil Type Depth Soil Tye Depth Soil Type Depth Soil Type <br /> TEST HOLE#1 DIAMETER: in DEPTH: L�5 ICI TEST HOLE#2 DIAMETER: In DEPTH: Lq I In <br /> TIME READING WATER DROP REFFILLED TIME READING WATER DROP REFFILLED <br /> -A'.bS q ,3-1 <br /> 10 �5 x.12 <br /> 'D 1 ; a-7 <br /> 57 <br /> 0-1 <br /> PERCOLATION RATE: 7 min/in PERCOLATION RATE: ` , J� min/in <br /> RECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> TEST PERFORMED BY: ) Phone�201) -��1'S��P3 Date: CI-N-05 <br /> TEST CERIFIED BY: Phone: -56 ;?—j 7C�1 Date: 4 <br /> OBSERVED BY(REH Phone: 'K69>-3L-20- Date: <br /> EHD 42-02-003 l2 :3j 7 �/ 3 �c/�� PERC TEST RATE FORM I c <br /> REVISED 5/7/02 l?/• 3�— 7i�.3 e <br />