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Department of Environment, Health, and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -site Wastewater Section Lot #: D
SOILJSITE EVALUATION File #: I' t tP �' 91
for ON -SITE WASTEWATER SYSTEM AppID:
Owner: Applicant:
Address: Date Evaluated: 2 -- 3 — l I
Proposed Facility: Design Flow (.1949) Property Size:
Location of Site: Property Recorded:
Water Supply: [ ]
Public [ ] Individual [ ] Well [ ] Spring [ ] Other
Evaluation Method: [ ]Auger Boring [ ] Pit [ ] Cut
Type of Wastewater: [ ] Sewage [ ] Industrial Process [ ] Mixed
SL ,, P S
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Description Initial System Repair System Other Factors (.1946): f) S
Available Space (.1945) e S Soil Evaluation By: SI p 1 Atif
System Type(s) 5 ° Ja Y4 Others Present:
Site LTAR s ✓ Site Classification (.1948): e 5
Site Evaluation By: 5. B
Others Present:
Sheet:
COMMENTS: FILE #:
Landscape Position Group Texture .1955 LTAR Structure
R -Ridge 1 S -Sand 1.2 - 0.8 SG- Single Grain
SS- Shoulder Slope LS -Loamy Sand M- Massive
LS- Linear Slope CR -Crumb
FS -Foot Slope II SL -Sandy Loam 0.8 - 0.6 GR- Granular
NS -Nose Slope L -Loam SBK- Subangular Blocky
HS -Head Slope ABK- Angular Blocky
CC- Concave Slope III SI -Silt 0.6 - 0.3 PL -Platy
CV- Convex Slope SICL -Silty Clay PR- Prismatic
T- Terrace Loam
FP -Flood Plain CL -Clay Loam
SCL -Sandy Clay
Loam
IV SC -Sandy Clay 0.4 - 0.1
SIC -Silty Clay
C -Clay
Consistence Consistence Mineralogy
Most Wei SEXP-Slightly Expansive
VFR -Very Friable NS- Non - Sticky EXP- Expansive
FR- Friable SS-Slightly Sticky
FI -Firm S- Sticky
VFI -Very Firm VS -Very Sticky
EFI- Extremely Firm NP- Non - Plastic
SP-Slightly Plastic
P- Plastic
VP -Very Plastic
Sketch of Soli Evaluation Locations
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