HomeMy WebLinkAbout032-2045-30-025 (2) KFCEIVED
11 oasin Department of Safety and Professional Services
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ion of Industry Services DEC ~ qrn1
SOIL E ~~O RT Page-/ _ of
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in accordance with Comm08~"1NsvIN Dl L"OPME -2-0g5 - 0 Od
County
ach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must
lude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. •r1 of C)'3 ny5
cent slope, scale or dimensions, north arrow, and location and distance to nearest road. 6_Z64 G
Please print all information. Re wed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z 4
Property Owner Property Location
7
Govt. Lot , ` 1/ 1/4 T N R G E (or) W
Property Owner's Mailing Address Lot # Bloc # Subd. Name 415r CSM#
It,
City ' State Zip Code Phone Number City E]Village Town Nearest Road
ST
New Construction UselD Residential / Number of bedrooms / Code derived design flow rate GPD
n Replacement rl Public or commercial - Describe:
Parent material zl z~ Flood Plain elevation if applicable ft.
General comments
and recommendations:
11 Boring
171 Boring #
Pit Ground surface elev. ft. Depth to limiting factor_ in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2
/
n Boring # ® Boring
Pit Ground surface elev. ft. Depth to limiting factor---/
in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fi?
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
? -.f ` c'
V
5
* Effl nt #1 = BODS > 30 < 220 mg/L and TS 30 < 1 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
CST Nam lease r j Sign urg ~i
CST Number
Address Date Evaluation Conducted Telephone Number
SBD-8330 (R07/13)
i
Property Owner V Parcel ID # Page of
Boring '
-41
Boring
~ Pit Ground surface elev. ft. Depth to limiting factor in. Application Rate
Roots GPD/ft2
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
j Cl ~l
'7 Ilk. / < f
l
Boring # 11 Boring
Pit Ground surface elev. ft. Depth to limiting factor in. Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
Boring
❑ Boring # Ground surface elev. ft. Depth to limiting factor in.
17 Pit Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
* Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg'L
SBD-8330 (R07/13)
Property Owner Parcel ID # Page ,,Z of
F-31 Boring # ®Boring
Pit Ground surface elev. / ft. Depth to limiting factor >42i=, in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2
1
E Boring # Cl Boring
n Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2
Boring
El Boring # Ground surface elev. ft. Depth to limiting factor in.
Pit Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eft#2
Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/- and TSS < 30 mg/L
SBD-8330 (807/13)
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