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Soil Information <br />Evidence of site: <br />Cut <br />❑ Yes <br />Q No <br />Filled <br />❑ Yes <br />No <br />Compacted <br />❑ Yes <br />❑a No <br />Disturbed <br />❑ Yes <br />Q No <br />Original soils ❑A Yes ❑ No <br />Soil logs completed and attached 0 Yes ❑ No <br />Soil loading rate (gpd/ft) <br />Depth/elev to SHWT <br />Depth to system bottom <br />maximum (or elev minimum) <br />Depth/elev to standing <br />water (if applicable) <br />Depth/elev to bedrock <br />(if applicable) <br />Soil Survey information <br />determined (see attachment) <br />Differences between soil survey <br />and field evaluation (if applicable) <br />0.78 <br />60.00 <br />24.00 <br />n/a <br />n/a <br />Q Yes ❑ No <br />Perk test completed and ❑ Yes <br />attached (if applicable) <br />Percolation rate (if applicable) n/a <br />Flooding or run-on potential ❑ Yes <br />(comments) <br />Flood elevation (if applicable) n/a <br />Elevation of ordinary high <br />water level (if applicable) n/a <br />Floodplain designation and <br />elev - 100 yr/10 yr (if applicable) n/a <br />I hereb t fy this ev n was completed in accordance with MN 7080 and any local reqs. <br />�, Ende Septic Service <br />Desi er Signature Company <br />FZI No <br />Q No <br />L2654 <br />License # <br />