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OWNER T)srr.Gi ADDRESS OR LOCP" ON \ <br /> P . M. or S. NUMBER: ;v Y DATE: <br /> � ,, SOIL PROFILE <br /> DEPTH TO FIRST WATER ° 3 '3 SIZE OF HOLE: ( IF REOUIREO <br /> SOIL TYPE: 2 ' <br /> REMARKS: ID 3' <br /> 4 <br /> LOCATION OF TEST HOLES ON PROPERTY 5' <br /> (SHOW ANY WELLS AND STRUCTURES) 6' <br /> TEST HOLE 4"k TEST HOLE I$ <br /> TIME R W R R REFILLED i R N , IL <br /> 7Q ' <br /> 0 z <br /> { <br /> 3:a� �t�c� « 1p <br /> z:rr / 0 iry��ir <br /> P6OLATION `TE- m'N PERCOLATION RATE: /0P p A5' <br /> RECOMMENDED SEWAGE RECOMMENDED SEWAGE DISPOSAL AREA: <br /> � Zb00 <br /> TEST PERFORMED 3Y: TEST CERTIFIED BY: - - ten <br />