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� UNIVERSxTY <br /> OF MINNESOTA �� <br /> OSTP Field Evaivation Form <br /> t.Contact Intormadon �� <br /> v 11.05.31 <br /> Property Ovmar/Clieni Cltent Phone Number. <br /> Address 4360 CMppewa Lane,Orono,NJJ 55359 <br /> Date 10/8/2012 Weather Condttions sunny�soils dry <br /> 2. Uqllty and StntcWre lnformallon <br /> Utllity locations Identifled �Gopher Stste One CaU p 7•800.252-1166 ❑�y P�ivate Utitltla <br /> Property Lines ❑Decermined and Approved By CBeM ClknYs Approva!(inttial) <br /> O Determined But Not Approved <br /> �Approximate <br /> ❑Properlylines Surveyed <br /> Locate and Verify�xe Sfte EvqluqHon map) <br /> EI��sa�e„i��s ❑�m�w�„�u O Eas��,s� p s��xs <br /> 3. Stte fnformation <br /> Percent Slope Stope Directfon <br /> Landscape PositEon shoulder Slope Shape Linear <br /> Veqetation tYPe(5) grass <br /> Evldence of cut,ffll,compacted or dfsturbed areas ❑Y� �� ❑Locate Areas on Stte Evaluatfon Map <br /> Dfscuss the ftooding or run-on potentfal of slte no flooding in proposed site location <br /> Identify benchmarks and elevations(Site Ew(uation Mcp)top of concrete on sidewaik in front of house <br /> Proposed soil tceatment area adequately protected 0 Yes CI No <br /> 4. Generai Soils tnfarmadon <br /> Original sofls �Y� �No <br /> Type of observatton ❑Sofi Probe QI Soil Borfng ❑Soil Pit <br /> Number oi soil oburvatians ❑3 <br /> Soil observationa were conducted in the proposed system taation �Yes �No <br /> A soii observatton was made withfn the most itmfting area of the proposed system �Y� �� <br /> Soii boring log fortns completed and attached �Y� ❑� <br /> Percolation tests perfortned,forms completed and attached ❑Yes �Nc <br /> 5. Phase I.Reporting Informatlon <br /> Depth to standing water na fnches Anttcipated construction issues <br /> Flood elevation rta feei <br /> Depih to bedrock �a Snches <br /> Depth to perfadicalty sawrated sofl 24 inches <br /> Maximum depth of system tt inches of sand fncAes top of rakbed is 96.9 <br /> Elevatlon at system bottam 94.9 Eeet Differences between soil survey and Netd evaluation <br /> Percolatfon ratc 30 min/inch <br /> Loading rate 0.5 gpd/ftl <br /> Contour loading rate 12 gpd/ft <br /> Sfte evaluallon issues/camments <br /> I hereby cetttty that I have completed this wwk in accordance with ' ble ordtnances,rules and laws. <br /> 2�'36`� �2. <br /> (Design�r) (5ignaturc) (�icense x� (oate) <br />