HomeMy WebLinkAbout030-2006-60-000 (3)
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Professional Services E--V i.-UA,-9 101N REPORT Page of 3
Division of Safety and Buildings
ST. CROIX COUNT n accordance with SPS 385, Vx,is. Adi)r. Code
IOMMIJNItachTxoTfi~(~ p county
Arl~~~~.rmauTpaper not less then 3 1/2 x 11 inches in size. Plan must
,c! :de, but no, )united ioi vertical and ttoriznmaj iefeemG poinr (M), direction and Parcel I-
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pe, cent slops scale or dimensions north arrow, and location anc: distance to nearest road-
'lease paint all infoonafsom Rev' ed by . Date
MC::'onal in orrnafic.-, you prod may r;e .Ise' `o~ sego^rJar, rurpu._a:e iva~:;~ I i5.0~ (1) {mj). ~~i
ope ~y O rn sr e ~ oriely l_oc;ation
Govt. Lo! N1,t)114 NF114 ~ T _3C> N R E (or Q
Fr p„r;v Owner's Maill^g Address La; # Block Subd- Name or CSM#
'itv State Zip Code Phone Number P=j City L]Vtla-o,e XTown Nearest Road
Nevi Construction Use_~d Residential / Numbej of kedroon!n Code derived design flow rate fates - ~zS 4.3 GPD
_e rent ❑ Pub' c or comrnetr ial - Descrihe.
n P. S 5 t?•,) g - 3". I r lnnd Pfau nl^.vat on if applicable `t.
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and recommendations : S SSA S+ ~'»PJ 8 y( 9 3,72,S ,o`7r v "q 19 C Sag PN J
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I J~ Boring
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pit Ground surfaca elev if. Depth M limiting factor in.
Soil A lication Rate
Honzo Depth Do!ninant ola Rednx Description XL ilr Structure ;onsistence oundary Roots GPD/ft
n_ Munsell OIL ST- Cont Cclm ~Gr.Sz Sh. i#1 ff#2
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Soil Aphiicaiiun Rate
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rriluent *~l =BCD nrl 7S S 7,(1, x) rc:/i._ 'tIuen! #2 = BOD _ < 30 mg/L and TSS = 30 mg/L
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CST Nl.imber
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Adcness t y~ ate F-valuation (.conducted Telephone Number
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Property Omer «I~+ De1p Page a of 3
Boring / t
Boring
L_ Horizon Pi. Ground sul.acs elev
Hori. Depth to limiting factor in. Soil Application Pate
Depth Dominant Color Redox Description - Texture T truciure onsistence Boundary Root:. GPD/ft
{ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.w ff#2
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Boring # 1'7 Boring
Pit Ground surface elev. Depth io limiting factor in.
- Soil Application Rate
Horizon Depth Dominant Color' Redox Description Texiure Structure- onsistence Boundary
ots GPDJft
in. Munsell I O U. Sz. Cont. Color 'r. Sz. Sly ff#1 * Rff#2
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Boring # Boring
i Pit Ground surface elev. Depth io limiting factor- ~ in. _
- Soil Application Rate
Horizon ( Depth { Dominant Color( Redox Description @ Texture G Structure .onsistenceoLrndary Roots GPD/ft
i ( in. ! Munsell Ou. Sz. _Cont. Color Gr. Sz. Sh. w 1 2
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Effluent #1 = BOD = 30 ---:220n-,q/Land T SS >3(1 mg/t P"ffluent #2 = ROD < 30 mg/L and TSS < 30 mg/L
T'hc Dept- ofS~ICI ~n Professi nnrtl SeI -i os s 111 ,;yn ,phclCUnit:y service provider anc] employer. If you need assist:a.ncc to
acc~,~ ,hr -i cs or nc ~l rnaCe~I I ~ . l in an nlLCa c Intact 1 1 1 c departrncnl. at 608-266-31 51 O F T TY through Relay.
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