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owner: Far / a' - -f <br /> Application No. : t ® 22 <br /> 4- 93 <br /> Depth to First Water: Size of r !A. <br /> Qoil e: <br /> Remarks: <br /> Location of Test Holes (Show Wells Structures) <br /> Soil Profile <br /> (If Required) <br /> Tesf Hole l 1. <br /> Un no 2. <br /> 3. <br /> -� 4. <br /> ..a Mae <br /> ML a a. Y 6. <br /> i <br /> ? <br /> 8 s <br /> No Scale 9. <br /> 10. <br /> 3T HOLZ 01 TZST RMS #2 <br /> T a Water DM Refilled Time Readimwater Drop Refill <br /> 10 :30 Z .6 '7-` 2,24 1 : 415, 2.SS' 3. 21 -- <br /> 11 :00 2. 6 <br /> 11 . 30 2 . %7S? '' 2 ,—2t ' It/l ' dlSJs 12.s T.2 <br /> ,2 :00 <br /> ,2 :00 7, 0/) '' 1®6 ' l!3 S�e" <br /> f 2 '.�.r 1/ I `r '� / s s /� `' � `.0 • 8 a� � ✓�'°i ® f I FI t� '` e �� <br /> 1 :00 - ® 96 S ` 1 1211 2 J ` 1 : JS 2.4 `' .2. <br /> L <br /> ;342. 43 2. C4 J : S .2. 93' <br /> ® 2. sl �2a0�" 2 : /S 2. C1 <br /> Percolation Rate: 14. 7 in i n_ ,4�//1. PercolationRate: '3` � m J n r l%h, <br /> Recommended Septic Area: ` ®et? Recommended Sg# <br /> �® G. Q �'------ <br /> Test Performed By: . <br /> Fest Certified By: 'Uj tin- 17M <br /> Observed By (Sanitarian) : OF <br /> ,�- <br /> �• tee. a��� .�.,. .: <br />