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UNIVERSITY ' <br /> OF MINNESOTA OSTP Preliminary Evaluation Form �+ � .��, <br /> t � _ ,�.Z��, <br /> H.Soil Survey tnformation(from web soil survey) �ap Map Units on Partel L4C <br /> List landforms Hills on stream terraces,hilts on outwash Slope Range 6-12 percent <br /> Parent matenals-check aU thot appfy Landform Position(check all that app(y) <br /> [}ill [�olluvium Qacustrine [�Iluvium [�WFill �ummit �houlder [�aackslope �ootslope �lain <br /> �ucwash Qcess �edrock [�rganic �epression (�tream/Telrece []�lanmade [}ce Sbpe <br /> Minimum bedrock depth:�inches Minimum bedrock depth:�inches <br /> Maximum bedrock depth:❑inches Maximum bedrock depth:❑inches <br /> Septic Tank Absorption Field-Trench(MN)Moderately limited <br /> Map Uni[Ratings Septic Tank Absorption Field-At-grade(MN) <br /> Septic Tank Absorption Field-Mound(MN) <br /> 4. Preliminary Soil Profile Information(from web soil survey-m� <br /> Enter information here or at[ach map and description. <br /> Map Uni[ <br /> Other <br /> Depth Texture(s) Structure(s) Consistence Restrictions Color <br /> Horizon 1 <br /> Horizon 2 <br /> Horizon 3 <br /> Horizon 4 <br /> Horizon 5 <br /> Map Unit <br /> Other <br /> Depth Texture�s) Structure(s) Consistence Res[ric[ions Colar <br /> Horizon 1 <br /> Horizon 2 <br /> Horizon 3 <br /> Horizon 4 <br /> Horizon 5 <br /> Nap Unit <br /> Other <br /> Depth Tex[ure(s) Structure�s) Consistence Restrictions Color <br /> Honzon i <br /> Horizon 2 <br /> Horizon 3 <br /> Honzon 4 <br /> Horizon 5 <br /> Map Unit Other <br /> Depth Texture�s) Structure(s) Consistence Restrictions Color <br /> Horizon 1 <br /> Horizon 2 <br /> Horizon 3 <br /> Horizon 4 <br /> Horizon 5 <br /> 5. Local Government Unit Information <br /> Name of LGU LGU Contact <br /> LGU-specific setbacks <br /> LGU-specific design requirements <br /> LGU-specific ins[allation requirements <br /> I hereby certify that I have completed this work in accordance with all applicable ordinances,rules and laws. <br /> Swedlund Septic � ,,�� 2502 3/13/15 <br /> (Designer) (Signature) (License#) (Date) <br />