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Soil Information <br />Evidence of site: <br />Cut <br />0 yes <br />0 No <br />Filled <br />Yes <br />❑ No <br />Compacted <br />❑ Yes <br />No <br />Disturbed❑ <br />Yes <br />No <br />Original soils <br />❑Yes No <br />Soil logs completed and attached <br />Fv] Yes F1 No <br />Perk test completed and <br />E] Yes <br />No <br />attached (if applicable) <br />Soil loading rate (gpd/ft2) <br />0.78 <br />Percolation rate (if applicable) <br />Depth/elev to SHWT <br />72.00 <br />Flooding or run-on potential <br />El Yes <br />� No <br />(comments) <br />Depth to system bottom <br />36.00 <br />maximum (or elev minimum) <br />Flood elevation (if applicable) <br />Depth/elev to standing <br />water (if applicable) <br />Elevation of ordinary high <br />Depth/elev to bedrock <br />water level (if applicable) <br />(if applicable) <br />Floodplain designation and <br />Soil Survey information <br />Yes ❑ No <br />elev - 100 yr/10 yr (if applicable) <br />determined (see attachment) <br />Differences between soil survey <br />and field evaluation (if applicable) <br />I hereby certify this evaluation was completed in accordance with A47V 7080 and any local req Is. <br />William Stone <br />Designer Signature <br />Rotz Septic & Excavating Inc. <br />Company <br />3987 <br />License # <br />