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UN I VERSITY <br /> OF MINNESOTA OSTP Field Evaluation Form <br /> 1.Contact InformaHon Project ID: v 05.31.13 <br /> Property Owner/Client Mark Larson Client Phone Number: 763-479-5268 <br /> Address 1702 Waconia Parkway South,Waconia MN 55387 <br /> Date 9/11/2013 Wea[herConditions Sunny <br /> 2. Utility and Structure Information <br /> Utility Locations Identified ❑�������� � �°'"Y P���11°� <br /> Property Lines ❑�^��a^d Appra�d�'aleM Client's Approval(ini[iol) <br /> �Deteimined bu[not Apprwed <br /> ❑APPrrnama0e <br /> ❑Propeity Lines Surveyed <br /> Locate and Verify(see Site Evaluation map) <br /> Q+ F�dstirg Buildings ❑Improvemer� ❑EasemeMs ❑� Seffiadcs <br /> 3. Site Informallon <br /> Percent Slope 3 Slope Direction NE <br /> Landscape Position Slope Shape LL <br /> Vegetation type(s) Gress <br /> Evide�ce of cut,fill,compacted or disturbed areas �Y� �N� ❑���s�^��luation MaD <br /> Dixuss the flooding or run-on potential of site <br /> Identify benchmarks and elevations(Site Evalua[ion Map) <br /> Proposed soil treatment area adequately protected �Yes ❑No <br /> 4. General So11s Informatlon <br /> Original soils �Y� �N° <br /> Type of observation ❑soil arobe ❑� Swl eoring ❑soii arc <br /> Number of soil observations 3 � <br /> Soil observations were conducted in the proposed system location 0 Yes �N° <br /> A soil observation was made within the most limiting area of the proposed system 0 Y� ��'10 <br /> Soil boring log forms completed and attached 0 Y� ❑�'1O <br /> Percolation tests performed,forms completed and attached �Y� ��'10 <br /> 5. Phase I.Reporting InformaHon <br /> Depth to standing water inches Anticipated construction issues <br /> Flood elevation feet <br /> Depth to bedrock inches <br /> Depth to periodically saturated soil 48 inches <br /> Maximum depth of rystem 12 inches <br /> Elevation at system bottom 92 feet Differences between soil survey and field evaluation <br /> Percolation rete 30 min/inch <br /> Loading rate 1.67 gpd/ftZ <br /> Contourloading rete 12 gpd/ft <br /> Site evaluation iswes/comments <br /> I hereby certify that i have completed this work in accordance with all applicable ordinances,rules and laws. <br /> (Designer) (Signature) (License#) (Date) <br />