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#19-000321-0007
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, explain your experience, if no please enter N/A.  

2

Do you have knowledge or experience in design or construction of wastewater disposal systems for commercial, residential, and or systems greater than 5,000 gallons per day? If yes, please explain, if no please enter 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 no enter 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 your experience, if no enter N/A.  


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