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� _ • � <br /> . LNI�ERSITY <br /> OF �I N V ESOTA OSTP Field Evaluation Form <br /> 1.Caiitact informatia� v 11.05.31 <br /> Property OMrtier/C(ient Tony lund CtienY Phone Number.612-751-2�6 <br /> Address <br /> Date 9/23/2011 Weather Conditions <br /> 2. Utility and Sirudure lnformation <br /> 'lity Locations identified � Gopher State One Call il 651-454-0002 +�Y�vate Utitities N� <br /> Property Lines � Determined and Approved By ClienL Ci�ent's x�raval jirattat) <br /> Determined But Not Approved � <br /> Approximate <br /> ✓ Property Lines Surve9red <br /> � Locate and Verify(see Site Evaluation�p) <br /> � Existing Buildirigs improvements Easements � Setbadcs <br /> 3. Site hifortnation <br /> Percent Slope 8% Slope Direction ��rt1i <br /> Landscape position Slope Shape Shoulder <br /> Vegetation type(s) �rass <br /> Evidence of cut,fiU,compacted or disturbed areas Yes � No Locate Areas on Site Evaluation Map <br /> Discuss the flooding or run-on potential of site None <br /> Identify benchmarks and elevations(Site Evaluotion Map)Well Top <br /> Proposed soil treatment area adequately protected Y� '' � <br /> 4. Generat Soifs tr►formation <br /> Original soils Yes � No <br /> Type of observation �Soit Probe Soit Bair� Soil Pit <br /> Number of soit observatiau a <br /> Soit observatiais were conducted in the proposed system tocation �Y� �'�O <br /> A soil observation was made within the most timiting area of the proposed system � Yes P�° <br /> Soil boring tog forms com�eted and attached '' Y� N° <br /> Percolation tests performed,forms completed and attached Yes � No <br /> 5. Phase i.Reportitig Information <br /> Depth to standing water 0 inches Antidpated construction fssues <br /> Ftood elevation 0 feet <br /> Depth w bedrock 0 inches <br /> Depth w periodically satureted soit 1.4 inches <br /> Maximum depth of system Mound inches <br /> Elevation at system bottom 95.5 feet Differences between soSl wrvey and field evaluation <br /> Percolation rate min/inch <br /> Loading rate 0.6 gpd/ft2 <br /> Contour Faading rate 12 gpd/ft <br /> Site evaluation issues/comments <br /> I hereby certify that I ha�completed this woric in accordance with all applicabte ordinances,rules and faws. <br /> v ,�., /�� ��� � ' � -�-3 -,2�i/ <br /> �///a / .wa' ✓. <br /> � (Designer) ' ` (Signature) —`— (License#) (Date) <br />