Common use of Reporting Information Clause in Contracts

Reporting Information. Depth Elevation Limiting Condition*: ft *Most Restrictive Depth Identified from List BelowPeriodically saturated soil: ft Soil Texture: Standing water: ft Percolation Rate: Bedrock: ft Soil Hyd Loading Rate: Benchmark Elevation: ft Elevations and Benchmark on map? (Y/N): Benchmark Elevation Location: site pad Differences between soil survey and field evaluation: Site evaluation issues / comments: Anticipated construction issues: 24 in in in in 95.0 medium ▇▇▇▇▇ loam min/inch gpd/ft2 0.68 Yes 1. PROJECT INFORMATION v 04.01.2020 Property Owner/Client: ▇▇▇▇ ▇▇▇▇▇▇▇▇ Project ID: Site Address: Date: 06/03/22 Email Address: Phone: ▇▇▇▇▇▇▇▇▇▇ 2. DESIGN FLOW & WASTE STRENGTH Attach data / estimate basis for Other Establishments Design Flow: GPD Anticipated Waste Type: BOD: mg/L TSS: mg/L Oil & Grease: mg/L Treatment Level: Select Treatment Level C for residential septic tank effluent 3. HOLDING TANK SIZING Minimum Capacity: Residential =400 gal/bedroom, Other Establishment = Design Flow x 5.0, Minimum size 1000 gallons Code Minimum Holding Tank Capacity: Gallons in Tanks or Compartments Recommended Holding Tank Capacity: Gallons in Tanks or Compartments Type of High Level Alarm: (Set @ 75% tank capacity) Comments: 4. SEPTIC TANK SIZING 5. PUMP TANK SIZING Pump Tank 1 Capacity (Minimum): Gal Pump Tank 1 Capacity (Recommended): Gal Pump 1 GPM Total Head ft Supply Pipe Dia. in Dose Vol: gal Pump Tank 2 Capacity (Minimum): Gal Pump Tank 2 Capacity (Recommended): Gal Pump 2 GPM Total Head ft Supply Pipe Dia. Dose Vol: Gal A. Residential dwellings: Number of Bedrooms (Residential): 3 Code Minimum Septic Tank Capacity: Recommended Septic Tank Capacity: 1000 Gallons in Gallons in Model/Type: Tanks or Compartments 1000 Tanks or Compartments Effluent Screen & Alarm (Y/N): No B. Other Establishments: Waste received by: GPD x Days Hyd. Retention Time Code Minimum Septic Tank Capacity: Recommended Septic Tank Capacity: Gallons In Gallons In Model/Type: Tanks or Compartments Tanks or Compartments Effluent Screen & Alarm (Y/N):

Reporting Information. Depth Elevation Limiting Condition*: ft *Most Restrictive Depth Identified from List BelowPeriodically saturated soil: ft Soil Texture: Standing water: ft Percolation Rate: Bedrock: ft Soil Hyd Loading Rate: Benchmark Elevation: ft Elevations and Benchmark on map? (Y/N): Benchmark Elevation Location: site pad base of tree Differences between soil survey and field evaluation: Site evaluation issues / comments: Anticipated construction issues: 24 in in in in 95.0 medium ▇▇▇▇▇ loam min/inch gpd/ft2 0.68 Yes: 1. PROJECT INFORMATION v 04.01.2020 Property Owner/Client: ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ Project ID: Site Address: ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇ Date: 06/03/22 05/23/22 Email Address: Phone: ▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ Phone: ▇▇▇-▇▇▇-▇▇▇▇ 2. DESIGN FLOW & WASTE STRENGTH Attach data / estimate basis for Other Establishments Design Flow: GPD Anticipated Waste Type: BOD: mg/L TSS: mg/L Oil & Grease: mg/L Treatment Level: Select Treatment Level C for residential septic tank effluent 3. HOLDING TANK SIZING Minimum Capacity: Residential =400 gal/bedroom, Other Establishment = Design Flow x 5.0, Minimum size 1000 gallons Code Minimum Holding Tank Capacity: Gallons in Tanks or Compartments Recommended Holding Tank Capacity: Gallons in Tanks or Compartments Type of High Level Alarm: (Set @ 75% tank capacity) Comments: 4. SEPTIC TANK SIZING 5. PUMP TANK SIZING Pump Tank 1 Capacity (Minimum): Gal Pump Tank 1 Capacity (Recommended): Gal Pump 1 38.0 GPM Total Head ft Supply Pipe Dia. 2.00 in Dose Vol: 120.0 gal Pump Tank 2 Capacity (Minimum): Gal Pump Tank 2 Capacity (Recommended): Gal Pump 2 GPM Total Head ft Supply Pipe Dia. Dose Vol: Gal A. Residential dwellings: Number of Bedrooms (Residential): 3 4 Code Minimum Septic Tank Capacity: Recommended Septic Tank Capacity: 1000 Gallons in Gallons in Model/Type: Tanks or Compartments 1000 Tanks or Compartments Effluent Screen & Alarm (Y/N): NoOptional B. Other Establishments: Waste received by: GPD x Days Hyd. Retention Time Code Minimum Septic Tank Capacity: Recommended Septic Tank Capacity: Gallons In Gallons In Model/Type: Tanks or Compartments Tanks or Compartments Effluent Screen & Alarm (Y/N):

Reporting Information. Depth Elevation Limiting Condition*: ft *Most Restrictive Depth Identified from List BelowPeriodically saturated soil: ft Soil Texture: Standing water: ft Percolation Rate: Bedrock: ft Soil Hyd Loading Rate: Benchmark Elevation: ft Elevations and Benchmark on map? (Y/N): Benchmark Elevation Location: site pad oak tree Differences between soil survey and field evaluation: Site evaluation issues / comments: Anticipated construction issues: 24 in in in in 95.0 medium ▇▇▇▇▇ loam min/inch gpd/ft2 0.68 Yestrees 1. PROJECT INFORMATION v 04.01.2020 Property Owner/Client: ▇▇▇▇▇ ▇▇▇ & ▇▇▇▇▇▇ A WALETSK Project ID: Site Address: parcel # 100622000 Date: 06/03/22 Email Address: Phone: ▇▇▇▇▇▇▇▇▇▇: 2. DESIGN FLOW & WASTE STRENGTH Attach data / estimate basis for Other Establishments Design Flow: GPD Anticipated Waste Type: BOD: mg/L TSS: mg/L Oil & Grease: mg/L Treatment Level: Select Treatment Level C for residential septic tank effluent 3. HOLDING TANK SIZING Minimum Capacity: Residential =400 gal/bedroom, Other Establishment = Design Flow x 5.0, Minimum size 1000 gallons Code Minimum Holding Tank Capacity: Gallons in Tanks or Compartments Recommended Holding Tank Capacity: Gallons in Tanks or Compartments Type of High Level Alarm: (Set @ 75% tank capacity) Comments: 4. SEPTIC TANK SIZING 5. PUMP TANK SIZING Pump Tank 1 Capacity (Minimum): Gal Pump Tank 1 Capacity (Recommended): Gal Pump 1 30.0 GPM Total Head ft Supply Pipe Dia. 2.00 in Dose Vol: 95.0 gal Pump Tank 2 Capacity (Minimum): Gal Pump Tank 2 Capacity (Recommended): Gal Pump 2 GPM Total Head ft Supply Pipe Dia. Dose Vol: Gal A. Residential dwellings: Number of Bedrooms (Residential): 3 Code Minimum Septic Tank Capacity: Recommended Septic Tank Capacity: 1000 Gallons in Gallons in Model/Type: 1 Tanks or Compartments 1000 1 Tanks or Compartments Effluent Screen & Alarm (Y/N): NoOptional B. Other Establishments: Waste received by: GPD x Days Hyd. Retention Time Code Minimum Septic Tank Capacity: Recommended Septic Tank Capacity: Gallons In Gallons In Model/Type: Tanks or Compartments Tanks or Compartments Effluent Screen & Alarm (Y/N):

Reporting Information. Depth Elevation Limiting Condition*: ft *Most Restrictive Depth Identified from List BelowPeriodically saturated soil: ft Soil Texture: Standing water: ft Percolation Rate: Bedrock: ft Soil Hyd Loading Rate: Benchmark Elevation: ft Elevations and Benchmark on map? (Y/N): Benchmark Elevation Location: site pad tree Differences between soil survey and field evaluation: Site evaluation issues / comments: Anticipated construction issues: A. Residential dwellings: 24 Number of Bedrooms (Residential): 3 Code Minimum Septic Tank Capacity: Recommended Septic Tank Capacity: 1000 Gallons in Gallons in in in 95.0 medium ▇▇▇▇▇ loam minModel/inch gpdType: 1 Tanks or Compartments 1000 1 Tanks or Compartments Effluent Screen & Alarm (Y/ft2 0.68 YesN): No B. Other Establishments: Waste received by: GPD x Days Hyd. Retention Time Code Minimum Septic Tank Capacity: Recommended Septic Tank Capacity: Gallons In Gallons In Model/Type: Tanks or Compartments Tanks or Compartments Effluent Screen & Alarm (Y/N): Design Summary Page 1. PROJECT INFORMATION v 04.01.2020 Property Owner/Client: ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ Project ID: Site Address: Parcel # 30056000 Date: 06/03/22 09/10/22 Email Address: Phone: ▇▇▇▇▇▇▇▇▇▇ 2. DESIGN FLOW & WASTE STRENGTH Attach data / estimate basis for Other Establishments Design Flow: GPD Anticipated Waste Type: BOD: mg/L TSS: mg/L Oil & Grease: mg/L Treatment Level: Select Treatment Level C for residential septic tank effluent 3. HOLDING TANK SIZING Minimum Capacity: Residential =400 gal/bedroom, Other Establishment = Design Flow x 5.0, Minimum size 1000 gallons Code Minimum Holding Tank Capacity: Gallons in Tanks or Compartments Recommended Holding Tank Capacity: Gallons in Tanks or Compartments Type of High Level Alarm: (Set @ 75% tank capacity) Comments: 4. SEPTIC TANK SIZING 5. PUMP TANK SIZING Pump Tank 1 Capacity (Minimum): Gal Pump Tank 1 Capacity (Recommended): Gal Pump 1 GPM Total Head ft Supply Pipe Dia. in Dose Vol: gal Pump Tank 2 Capacity (Minimum): Gal Pump Tank 2 Capacity (Recommended): Gal Pump 2 GPM Total Head ft Supply Pipe Dia. Dose Vol: Gal A. Residential dwellings: Number of Bedrooms (Residential): 3 Code Minimum Septic Tank Capacity: Recommended Septic Tank Capacity: 1000 Gallons in Gallons in Model/Type: Tanks or Compartments 1000 Tanks or Compartments Effluent Screen & Alarm (Y/N): No B. Other Establishments: Waste received by: GPD x Days Hyd. Retention Time Code Minimum Septic Tank Capacity: Recommended Septic Tank Capacity: Gallons In Gallons In Model/Type: Tanks or Compartments Tanks or Compartments Effluent Screen & Alarm (Y/N):