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#19-000321-0001
Supplemental Questionnaire

Last Name
First Name

 

Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.


1.

Do you have experience with soil descriptions including but not limited to textures, structures and redoximorphic features? If yes, please explain. If you do not possess this experience please indicate N/A.

2.

Do you have knowledge or experience in design or construction of wastewater disposal system for commercial, residential and or systems greater than 5,000 gallons per day? If yes, please explain. If you do not possess this experience please indicate N/A.

3.

Do you have knowledge or experience with water well drilling practices, inspections and or water potability standards? If yes, please explain. If you do not possess this experience please indicate N/A.

4.

Do you have experience with preparing and/or working with hydrogeologic reports, mounding analysis and or nitrogen balance calculations? If yes, please explain. If you do not possess this experience please indicate N/A.


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