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Field Evaluation Form <br /> 1.Coma bla motion Fib*.SMOOO67 <br /> Property oaner/Chent Matffim <br /> Kattertmem <br /> (tORy aid Strucbae lnfar ion <br /> litift Locations ide YAW 0 C'00W state One Call s 172640970 ❑Any MWO WMIM T(set ) 1 <br /> Locate and Yerffy(see site Eral mdm man) O easw+y 0 Upmeneft 0&M°"IS O <br /> 3. Sibs bFornuatiort . <br /> type(s) Wm O ) <br /> Percent slope 5 Slope direction i �f y <br /> Slope shape Limm,taxer landscape Position Bads/Side Slope <br /> Discuss the flooding or run-an potential of site tone pW rtciat <br /> Discuss need for Type m or Type N system n/a <br /> Woofy benchinaria and elevations(YIN)identified on map) Yes <br /> Proposed sof treatnwawt area adequately protected(Y/N) Yes 1F yes,desk: staked out d - <br /> id <br /> . General softs WMatian <br /> Odolat sods(YM) Yes if no,descrae. <br /> Cut,fill,compacted or disturbed area(Y/N) No Number of salt abs. � 3 <br /> Sal ahservations were conducted in the proposed system location(Y/ Yes <br /> A sod d6serw►atiau in the most tirniting arm of the proposed system(YM) yes <br /> Soil boring lag fomts completed and attached(YM) Yes_ <br /> Percolation tests perfomxd,forms completed and attached(Y/N) No <br /> 5. Phan L Reporting bift IUMth n <br /> Depth Eamon <br /> Standim water n/a frrdues n/a <br /> ft <br /> Floodplain(10yr) n/a feet n/a ft <br /> Floodplain(10%0 n/a feet n/a <br /> ft <br /> Bedrock n/a ktdtes n/a ft <br /> perkKna ty satiated soil 12 96'6 <br /> Max Ift <br /> depth of system n/a irudres Bctbom of Rock Bad M 94.60 <br /> Percolation rate 4 min/Wh <br /> Sob Hydraulic Loading Rata gpd/ft2 0.60(emoting soft)1.2 gpd/ft2(mound sand) <br /> Contour lea rate F 12 gpd/ft <br /> Differences between sob survey and field evahation See endosed sal surrey info and suit baring logs <br /> Site evaluation isstues/ No faseeable land use cMnii arm a weded to affect the future of the septic <br /> performance.No out of the ard1my difficulties were encountered <br /> during the site emVdesW poom if no elte native site is shown it is due to the <br /> system being a replacenum*for and S►wane <br /> qed construction issues None at this tine. <br />