11-15-2019 Septic Design - Laserfiche WebLink

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Liamage Ulsposat Lj Tes M IVU Daycare / In home busmess ❑ Yes F -I No Site Information Existing & proposed lot ❑ Yes ❑ No Well casing depth improvements located (see site map) ❑ Yes ❑ No Filled Easements on lot located 0 Yes ❑ No Drainfield w/in 100' of ❑ Yes ❑ No (see site map) residential well ❑ Yes ❑ No Property lines determined ❑ Yes ❑ No Site Win 200' of transient ❑ Yes ❑ No (see site map) Perk test completed and ❑ Yes noncommunity water supply (TNCWS) Req'd setbacks determined Yes ❑ No Site w/in an inner wellhead ❑ Yes ❑ No (see site map) 10.7 mgmt zone (CWSfNTNCWS) 18.00 Flooding or run-on potential Utilities located & identified ❑ Yes ❑ No Buried water supply pipe ❑ Yes ❑ No (gopher state one call) Depth to system bottom -18.00 w/in 50' of system Access for system maintenance ❑ Yes ❑ No Site located in Shoreland ❑ Yes No (shown on site map) Flood elevation (if applicable) (w/in 1000' of lake, 300' of river) Depth/elev to standing Soil treatment area protected 0 Yes ❑ No Site map prepared with ❑ Yes ❑ No previous items included Elevation of ordinary high Construction related issues Depth/elev to bedrock water level (if applicable) Sof! Information Evidence of site: Cut ❑ Yes ❑ No Filled ❑ Yes Q No Compacted ❑ Yes ❑ No Disturbed ❑ Yes ❑ No Original soils ❑� Yes ❑ No Soil logs completed and attached ❑ Yes ❑ No Perk test completed and ❑ Yes ❑ No attached (if applicable) Soil loading rate (gpd/ft) 0.80 Percolation rate (if applicable) 10.7 Depthlelev to SHWT 18.00 Flooding or run-on potential ❑ Yes ❑ No (comments) Depth to system bottom -18.00 maximum (or elev minimum) Flood elevation (if applicable) Depth/elev to standing water (if applicable) Elevation of ordinary high Depth/elev to bedrock water level (if applicable) (if applicable) Floodplain designation and Soil Survey information 0 Yes ❑ No elev - 100 yr/10 yr (if applicable)