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Preliminary Evaluation Checklist <br /> . <br /> . � . <br /> B-39 <br /> • '�DATE G — `5 [ � CLIENT � ��S �� �l� ` �e <br /> LEGAL LOG4TION � T �� � ��C � .� �S�i �c��►�+-'�'�'' F���.5 <br /> TYPE OF ESTABLISHMENT (e.g. in e famil residenc restaurantl <br /> SYSTEM: ew replacement (cinle onel <br /> HDUSE SPECIFICATIONS: <br /> TOTAL SQ.FOOTAGE <br /> �OF BEDROOMS <br /> TYPE OF DWELLING ��GS e <br /> �WATER USING DEVICES <br /> � � � automatic washe�dishwashes,water softenes� <br /> ga� ag�i,��rng�iu'n i <br /> ESTIMATED FLOW . , <br /> DESCRIPTION OF WELL: �� � � <br /> EASEMENTS D �a ! I7i lC'�! 2 � v�C{�:-t,'�-ti <br /> FLOODING INFORMATIDN /v� �e <br /> SOIL SURVEYINFORMATION: <br /> ���S�BOL P� � � D <br /> MAP UNTT NAME <br /> SOIL FEATURES: <br /> Landscapc postion � _ ` <br /> Flooding y��/� <br /> slvpc 3 — S �o <br /> Watertable depth <br /> � y -, <br /> Bedrock deyth � <br /> Texturc at <br /> proyoseA depth of <br /> system: 3 �D�!'i'�- <br /> Prrrnea6ility `��+Jc�-.— <br /> in;itrslhnur <br /> - 60 divided by inchs�/l�our . � ` - O� MPI <br /> SCS suita6ility �or ^ <br /> onsite system m D U/2/� <br />