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I .3(0 min/in <br />PERCOLATION TEST RATE <br />ADDRESS OR LOCATION: I Li I:ii <br />OWNER NAME L:\•-• 1-111-1 1-, I . ' DATE: <br />APN: ?• 0 LI - 7 j C APPLICATION*: r • r - <br />SOIL TYPE . • f• DEPTH TO FIRST WATER, _ Ft <br />REMARKS: _ <br />--- <br />LOCATION OF TEST HOLES (SHOW WELLS AND STRUCTURES <br />SOIL PROFILE (IF REQUIRED) <br />De h Soil T •e De th Soil T <br />0 - L0 " 5A <br />TIME READING WATER DROP REFILLED <br />'.0 j i Lie D 12- Y <br />r'? ID,: 10 LI. 55 0 . a 5 <br />._ 0 . 3 0 4.34 <br />-I 1. -1 L-1- 55 0 al 14.3D, <br />cJ _.,.; i : Lin 9- 51-1 0.. al LI cxs <br />, 0a 1-1..53 0 aP, 4 30 _ 1 1, • _ • • <br />3: to aliMill 0 a 1 3; Li 0 LI. i O. aa_ <br />Test Hole It 2 <br />Parcel: I Diameter: in Depth: <br />ERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: <br />TEST PERFORMED BY: /- <br />TEST CERTIFIED BY: <br />OBSERVED BY (REHS): <br />EVID A2-03 REV 11/2/0g _ _ <br />PERCOLATION RATE: <br />RECOMMENDED SEPTIC AREA: <br />Phone: ,`ZOI - 7 70 _ Date <br />Phone: Date <br />Phone Date <br />PERC TEST RATE FORM <br />De th Soil Type Depth Soil Type