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Perc TestNebraska Onsite Wastewater Treatment System lipDE0 Soil Percolation Test Data Sheet Owner Name Nielsen Construction Phone Address Blair NE 68008 City State Zip Location (Attach a sketch of the property showing test hole locations) %4 '/4 Section Township Range County Lot # 1 Subdivision Hidden Fawn Acres Soil Tyne (Check one) Sand Silt Clay Sandy Clay Loamy Sand Silty Clay Silty Clay Loam XX Sandy Loam Silt Loam Dates of Test Weather Conditions Start Date 8/14/2020 to End Date 8/15/2020 12020 Precipitation None Avg. Temp 92 OF Percolation Test Measurements and Data Pre -saturation Period Percolation Readings lastperiod) Results Start End Start End Hole No. Hole Depth in. ° ti E E o ti . ti .N Date (Mo./ Da) Time (Hr./ Min) Date (Mo./ Da) Time (Hr./ Min) Date (Mo./ Dav) Time (Hr./ Min) Water Level (inch) Time (Hr./ Min) Water Level Drop (inch) 1 30" 8/14 12:50pm 8/14 4:50pm 8/15 12:15pm 6" 4:15pm 1.25" 30 1.25" 24.00 2 3011 8/14 12:55pm 8/14 4:55pm 8/15 12:17pm 6" 4:17pm 1.75' 30 1.75' 17.14 3 30" 8/14 1:00pm 8/14 5:00pm 8/15 12:19pm 6" 4:19pm 1.50" 30 1.50" 20.00 Tests must be performed by a certified professional, a professional engineer or a registered environmental health specialist. Sum of Percolation Rates of Percolation Rates* (sum of rates number of tests) Signature(///Avg. Certificate or License # 1464 (minutes per inch) Address 9505 County Road 29 * If rates vary by more than 20 min/in., do not City Blair 9t. NE zip 68008 average. Use slowest rate measured for sizing soil Phone 402-306-0202 absorption area. **No evidence of water table within 10 foot of surface. Version 9-2014