HomeMy WebLinkAbout030-2070-20-100 (2) HrEciE,_ QED k gus(J C5T-�0I/ - tfy
'vVislept.of Safety and rofessionalSerZlgeszo18 OIL EVALUATION RE ORT L �y page I of 3
Division of Safety and Bu Idings J U IIN / C • i Z 'Z Z 7f•1 !1.
in accordance SPS 385,Ws. Adm. Code V r p
• Attach complete site pl n . °Ieperin II Cstinty sktia AR x 1 inches in size.Plan must County `- c)\y+ ,
indude, but not limited . point(BM),direction and parcel I.D.
percent slope,scale or dimensions, north arrow,and location and distance to nearest road. 30 - 2070 - Z 0- I b O
Please print all information. RevlQ1�Ved by / / Date
Personal information you provide may be used for secondary purposes(Privacy Law.s. 15.04(1)(m)). r/ 1%1eGGG- . / Ibty Z G
Property Owner Property Location rrrLLL
MARK DRY N E k Govt.Lot NW 1/4^1E 1/4 S36T 3p N RZ0 E(or 1/1
Property Owner's Mailing Address Lot# Block# Subd.Name orCSM#
12. 8R 2.7 -j-r sT- 2 1 CS vvt_ (0 P 15c, o
City State Zip Code Phone Number 0 City ❑VIllage ®Town Nearest Road
HUD1 o?J I Rill 5`1a61 ( ) ST SOSEP►-4 1 27*n ST
® New Construction Use:II Residential l Number of bedrooms 3 Code derived design flow rate L15 0 GPD
O Replacement ❑ P�ublic or commercial-Describe:
�Parent material r wQJ, Flood Plain elevation if applicable 7-0/1.6 x ft.
General comments ( k F% —0 'Lot",Ict
and recommendations:
I ❑ Boring
Baring# MI Pit Ground surface elev. 9`1 Q,r� : ,C
1 ft. Depth to limiting factor 7 Lf in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure consistence Boundary Roots GPD/fl ' _
in. Munsell Ou.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2
J
I D 3
10 /v�14 /Z 51 a m5bt MI CS 2M . (o 1.0
2. lb-814 /oyl2 y)`f - 5 orf,sq m1 - P 7 I.(o
2 Boring# O Boring (�
IIpit Ground surface elev. 9 7.G S ft. Depth to limiting factor 7 87 in.
I Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure bonsistence Boundary Roots GPD/ft '
in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2
I o• foya3)1- `- SI 2irsb< ml CS , 2 . (2 1.0
2. 9 -S7 l0 yn Y/Y 5 orrSci - r,r\ — — . 7 l , (o
•Effluent#1 =BOD s>30<220 mg/L and TSS>30 <150 E .,<30 mglL and TSS <30 mg/L
CST Name(Please Print) Signature CST Number
GC, SPCA ne l A Apt, e2234E5 .
Addr Date Evaluation Conducted Telephone Number
1L5 /44 lea kS't oSc En.LA , WT 61id1 Q 6" 2. 2- 1e 715-4No-5-l4b
SBD-8330(RI lit I)
Property Owner 1*. 0 R V C t J E R Parcel ID#3 0 '2 0 7b - 2 0 - I D° Page 1 of 2
❑ Boring
3 Boring# / I' A p
Frpit Ground surface elev. 9.1,,4 S ft. Depth to limiting factor 7 a O in. -- -
Sod Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft '
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 '`_ff#2
I 0 -14 Ioyr3/2 — 5I_ l fr,S bK. yy\i CS 1 M , (.1 1. 0
2 )a-gg /o kiRVILr — S or^s1 m1 - - . l I. 6
Boring# 0 Boring
❑ pit Ground surface elev.. in. r
Soil Appication Rate
Horizon Depth Dominant Color Redox Desl 9 • Li • 0 ary Roots GPD/ft '
in. Munsell Qu.Sz. Con •Eff#1 •:ff#2
./4 ;
. 10it
itil'A1/4---ii,11
9) .0(1 \13\ . ,
•
io:1) , A Oi .
0PA
Boring ( ` ��I ��
Boring# Ground surface elev. V�
0 Pit — V n\
Soil Application Rate
Horizon Depth Dominant Color Redox Descri _._ .........,.. .,onslstence Boundary Roots GPD/ft 2
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •(ff#1 'Eff#2
•Effluent#1 =BOD 5>30<220 mg/L and TSS>30 <150 mg/t. •Effluent#2=BOD 5<30 rng/L and TSS <30 mg/L
The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to
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