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UNIVERSITY. OSTP Preliminary Evaluation Form <br /> OF MINNESOTA <br /> H.Soil Survey Information(from web sol(survey) Dials Map Units on Parcel <br /> List landforms Slope Rdoyel <br /> Parent materials-check all that apply Landform Position(check.((that apply) <br /> Fire ocd— ..(]tmuytrV[ CIO. . ......[}fuVF� []Summit ['Jog Ad" ....._ (3-k5k4m [Irvoulwe Clain <br /> C]owwam CLaft. Elor%mk ❑=knee+ 09-owence (]"WWWae CITMSW <br /> Minimum bedrock depth:❑inches Minimum bedrock depth:❑irxhes <br /> Maximum bedrock depth:Qinthes Miidmum bedrock depth:Dinches <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. Prof miteary Soil Profile Information(from web sort survey-fru <br /> Enter information here or attach map and description. <br /> Map Unit other <br /> Depth Texture(s) Structures) 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) Structurel$) Consistevace Restrictions Color <br /> Horizon 1 <br /> Hkrlmn 2 <br /> - <br /> Horizon 3 <br /> Horizon 4 ... <br /> Horizon 5 <br /> Map unit Other <br /> Depth Texture(s) Structure(s) Consistence Restrictions Color <br /> Horizon t �. ..... <br /> Horizon 2 <br /> Horizon 3 <br /> Horizon 4 ... <br /> Horizon 5 <br /> Map unit Other <br /> Depth Texture(s) Structures) Consistence Restrictions Cot" <br /> Horizon 1 <br /> Horizon 2 .. .... .. <br /> Horizon 3 <br /> Horizon 4 <br /> Horizon 5 <br /> 5. Loci Government Unit Information <br /> Name of WU ... LGU Contact .. <br /> LGU-specific setbacks <br /> LGU-spedfic design requirements <br /> LGU-specific irntattation requirements <br /> O hereby certify that I have conpleted this wok in acrnrdance with all applicable ordinances,rules and taws. <br /> (Designer) (Signature) (LE)ense k} (Date) <br />