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TAX REFERENOE <br /> <br />SI'~ EVALUA~ON F]EL~ WORKSHEET <br /> /_ <br /> sTE ~ ¢ 3- EV~.UATO~ '"' ~'"'" <br /> <br />,~PUC,~T .....--4¢.'/-, .~',~} <br /> 4°,/., <br /> 7' .... DATE ¢,./',~ ~.. P*.OEL S,ZE <br /> <br />ADDRESS WATER SUPPLY <br /> <br />Pit 1 <br /> <br /> Soil Matrix Color and M01~llng (NotstJofl), % Coarse Fragments, Roots, Structure, <br /> Layer Umtting Effectn~e ~il Depth, etc. <br />DEP~ ~RE MO~ING <br /> <br />Pit 3 <br /> <br />P~t 4 <br /> <br />SLOPE ~ -- ,~ ~ ' A~PEOT //l~G{'i.~ ~ 'GROUNDWATER TYPE <br /> <br /> SYSTEM SPECIRCATIONS <br />TYPE SYSTEM: DESIGN FLOW GPD <br /> <br />INITIAL SYSTEM SIZING /150 G. <br />REPLACEMENT SYSTEM SIZING /150 G. <br />SPECIAL CONDIqONS <br /> <br />DISPOSAL RELD SIZE UNEAR FEET <br />MAX DEPTH ABSOF{I~ION FAOIL['W (in) <br />MAX DEPTH ABSOHP~ON FACIUTY (in) <br /> <br />]~C 15-63 P~-9,'. 10/91 <br /> <br />PLOT PLAN ON REVERSE SIDE <br /> <br /> <br />