Laserfiche WebLink
Preliminary <br />Evaluation Worksheet <br />Site within 200' of noncommunity transient well (Y/N) Yes, source: <br />Site within a drinking water supply management area (Y/N) Yes, source: <br />Site in Well Head Protection inner wellhead management zone (Y/N) Yes, source: <br />Buried water supply pipes within 50 ft of proposed system (Y/N) <br />B. Site located in a shoreland district/area?Yes, name: <br />Elevation of ordinary high water level: ft Source: <br />Classification: Tank Setback: ft. STA Setbk: ft. <br />C. Site located in a floodplain?Yes, Type(s): <br />Floodplain designation/elevation (10 Year): ft Source: <br />Floodplain designation/elevation (100 Year): ft Source: <br />D. Property Line Id / Source: <br />E. ID distance of relevant setbacks on map: <br />Map Units: Slope Range: % <br />List landforms: <br />Landform position(s): <br />Parent materials: <br />Depth to Bedrock/Restrictive Feature: in Depth to Watertable: in <br />Septic Tank Absorption Field- At-grade: <br />Septic Tank Absorption Field- Mound: <br />Septic Tank Absorption Field- Trench: <br />Name of LGU: <br />LGU Contact: <br />LGU-specific setbacks: <br />LGU-specific design requirements: <br />LGU-specific installation requirements: <br />Notes: <br />5. Local Government Unit Information <br />Septic Tanks: 4-bedroom = 1,250-gal & 1,000-gal <br />>80 <br />Ground moraines <br />Dip <br />Colluvium over till <br />Slightly Limited <br />Extremely Limited <br />Map Unit <br />Ratings <br />City of Orono <br />12-24" <br />Extremely Limited <br />N/A N/A <br />No <br />No <br />No <br />No <br />4. Preliminary Soil Profile Information From Web Soil Survey (attach map & description) <br />No N/A <br />N/A N/A <br />0-3L36A; Hamel, overwash Hamel complex <br />No <br />Survey Plat Map <br />Property Lines Other:OHWL <br />EasementsWater Well(s) <br />Building(s) <br />Owner County GIS Other