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UNIVERSITY OSTP Preliminary Evaluation Form <br /> OF MINNESOTA <br /> H.Soil Survey Information(from web soft survey) ❑mw Map Units on Parcel <br /> List landforms Slope Range <br /> Parent materials-check all that apply Landform Position(check all that apply) <br /> ❑mi ❑ANkm ❑-jim ❑Alukdum ❑adFM ❑sua.ox pshodaw ❑aarioklap. ❑Fook.lope []Plain <br /> ❑QAwash ❑Laos ❑n.aiodc 0019+w 1 ❑Deyrasalon ❑siwam/TanKe ❑Mannuk ❑Toa slop. <br /> Minimum bedrock depth: inches Minimum bedrock depth:-inches <br /> Maximum bedrock depth: inches Maximum bedrock depth: inches <br /> Septic Tank Absorption Field-Trench(MN) <br /> Map Unit Ratings Septic Tank Absorption Field-At-grade(MN) <br /> Septic Tank Absorption Field-Mound(MN) <br /> 4. Preliminary soil Profile Information(from web soft survey-rim <br /> Enter information here or attach map and description. <br /> Map Unit Other <br /> Depth Texture(s) Structure(s) Consistence Restrictions Color <br /> Horizon 1 <br /> Horizon 2 <br /> Horizon 3 <br /> Horizon 4 <br /> Horizon 5 <br /> Map Unit Other <br /> Depth Texture(s) Structure(s) Consistence Restrictions Color <br /> Horizon 1 <br /> Horizon 2 <br /> Horizon 3 <br /> Horizon 4 <br /> Horizon 5 <br /> Map Unit Other <br /> Depth Texture(s) Structure(s) Consistence Restrictions Color <br /> Horizon 1 <br /> Horizon 2 <br /> Horizon 3 <br /> Horizon 4 <br /> Horizon 5 <br /> Map Unit Other <br /> Depth Texture(s) Structure(s) Consistence Restrictions Color <br /> Horizon 1 <br /> Horizon 2 <br /> Horizon 3 <br /> Horizon 4 <br /> Horizon 5 <br /> 5. Local Government Unit Information <br /> Name of LGU LGU Contact <br /> LGU-specific setbacks <br /> LGU-specific design requirements <br /> LGU-specific installation requirements <br /> I hereby certify that I have completed this work in accordance with all applicable ordinances,rules and laws. <br /> Swedlund Septic a lj. 2502 10/17/14 <br /> (Designer) (Signature) (License#) (Date) <br />