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'4DDRESS OR LOCATION r lf\JGy� - U)Ctiu 61 i v r- <br /> L)WNER- a6 U LS U hn:�Aivi Vmi� 7fwA4orl <br /> APPLICATION NO., DATE SOIL PROFILE <br /> - 6 rr <br /> �LDEPTH TO FIRST WATER: SIZE OF BORING: (IF REQUIRED) <br /> 1 " <br /> SOIL TYPE: <br /> LEMARKS: C� rr `�C? I' L 2' <br /> LOCATION OF TEST HO (SHOW ELLS & STRUCTURES) 3 ' <br /> 1 4' <br /> oca <br /> drI S <br /> if 8 <br /> � -2y- <br /> 9' <br /> 10, <br /> AL <br /> 4 TIME READING WATER DROP REFIL D TIME READING WATER DROP REFILLED <br /> I. Vii,'�`:�, �`. ���•- . 3 7'i.._ �� s� �_C� <br /> E ' <br /> ERCOLATI ON RATE: PERCOLATION RATE: <br /> ECOMMENDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> IL <br /> 'TEST PERFORMED BY: 00Pobb oh "d h (� <br /> 1 <br /> ,EST CERTIFIED BY : <br /> -BSERVED BY (SANITARIAN) <br />