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Preliminary & �'ield Evaluation Fol•m <br /> N��N.1i��Iii1:C,utlf�i.C�q�t �ir. 1=.�1 <br /> O��ncr Information <br /> Uatc 9/17/2017 ti�,� I���, {Z,�,` <br /> }'arccl II) 2711823310017 I.l i(� �county, cii�. t��„nshir) City of Orono <br /> Pru�ert��(hi�ncr: Kevin SCher@� �h�n�r5<iddress(ifdi�7erenU <br /> Pro��em :1d�iress: 2160 6th Ave N <br /> ('it� titatr 7ip: Orono, MN 55356 <br /> Flo�� Inform:�tion and Wastc T��pc/Strength <br /> I:timat�d Drsign ilc��� 450 ;�nticinatr�i Waste strength (_j Hi Strength ;�j Domest�c <br /> A�n Non-Uomestic Waste ❑ Yes(dass V) � No <br /> ('cimmrnt>: <br /> Sewagr e,jector��rinder pump �]Yes � No <br /> N�'ater softener � Y� �] No <br /> (�arba=e Disposal ❑ ves C No <br /> l)a�c:arc ` In hume busines, ;� Yes [� No <br /> Site Information <br /> f:�ictin_h: pro��osed lot �_'_; Y� ❑ No ���II casint�depth 135' <br /> improvemrnts luc;atcd I:�e,it�ma�� � <br /> E�.ascments on Iut located _] Yes Lj No f�rain�ield �►-in 100'of (_� Yes I-�l No <br /> i•cr.i�r rna�) retiidential well <br /> Prvpem lines detennined � Yes ❑ No Site �� in?00'of transient l_�� Y� [�i No <br /> i.rc,iic ma�) IlOf1CO111111Uf11Iti'W81C�"SU��II�1 I?V(�N SJ <br /> Key'd setbacks determinrd U Y�s ❑ No Site �+ in an inner�tiellhead ❑ Y� � No <br /> (,rc.itc ma�,l m�_mt zone(C�4G��h�I�N('�4�ti� <br /> Utilities locat�d� idemil7ed 0 Y� ❑ No l3uriedµ�ater supply pipe ❑Y� �1 No <br /> (gu�hrr slatr unr ca111 �+�in 50'of svstem <br /> Access i<�rs�slem rn�intenance � Y� [�� No tiite lucetrd in Shorelund L_.� Y� �-'; No <br /> Ishu��n un sitr m:fpl I��'in IlIIIIY„I lal.c.illll'�ifri��rl <br /> Soil �reatment �rea prcitected � Y� i_.i No Site map prepared �tiith (�� Yes � N� <br /> prr�ious items included <br /> C�m�tructiun rclated issues <br />