Laserfiche WebLink
ADDRESS OR LOCATION: APN-. <br /> INER:_f u I c �; ! {Uva c�i 1� DATE: <br /> PPLICATION#: DEPTH TO FIRST WATER: ft SOIL TYPE: <br /> :.MARKS: <br /> LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES <br /> a IT <br /> LA 0z <br /> PROFILE (IE REQUIRED) <br /> )e th Soil Type Depth Soil T e De thSoil T e De th Soil Type De th Soil T e <br /> -_ST HOLE#1) <br /> 1 ) DIAMETER: _-4—in DEPTH: TEST HOLE,DIAMETER; in DEPTH: <br /> WATER WATER <br /> fIivIE READING DROP REFILLED TINIE READING DROP REFILLED <br /> 85 c .2 1 - <br /> ' zkO .. 18 — o? O T 0'L <br /> - I 7 <br /> d. 21 I <br /> ERCOLATION RATE: min/in PERCOLATION RATE: 0f 7�/_ <br /> [` I minJin <br /> Z � <br /> I 'OMMELNDED SEPTIC AREA: RECOMMENDED SEPTIC AREA: <br /> i <br /> E T PERFORMED BY: Phone: Date <br /> i;3 T CERTIFIED BY: Phone: Date <br /> I ERVED BY(REHS): Phone Date <br /> ID SCD 5003 PERC TEST RATE FORMIC <br /> I <br />