Form : 12-009 - Private Onsite Waste Treatment System Evaluation Page 2

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Form 12-009
DIAGRAM OF PROPERTY
Show locations/setbacks to buildings, tanks, dispersal cells, well, neighboring wells, soil borings, etc.
Comments:_______________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
_______________________________________________________________________________
Show soil boring data or attach SBD-8330 form: Surf. Elev._____ Depth to limiting factor_______
Depth
Dominant color
Redox Description
Structure
Consistence
Boundary
Roots
Eff
Eff
inches
Munsell
Texture
Gr. Sz. Sh.
#1
#2
Horizon
Qu. Sz Cont. Color

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