HomeMy WebLinkAbout004-1059-10-200
RECEIVED
vIfisconsin Dep vtt62 ci P'Ofas'i"at Services °=ge aP J
Oivision o~ lndu , ennces
ST. CROIX COUNTY
^OMMUJNITY DEVELOPMENT vr. t
In accordanc-v SPS 3a5, }Nis. Ad,- Coda County
Attach comotefe site plan on paper not less than a 112 ::11 inches in size. Plan must incied
but not Limited to. vzr5cal and horizonfal rase ante point (MA), direction and p-rcent stop., Parcel i.D.
state or dimensions, north arrow, and location and distance to nearest read. y ~ Q6 16 ~ 2~b !
Please print all information- ! Review ' by Date
Personal information you orovide may be used for S2COndz UrpO5e5 CFrivacv La+:.r, s. "1~_n-.+r (1 }(t:t}j_ ( f~
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f `Baring 1 Borina .
pit Ground surface elev. 9.9 Y fr_ Depth to limiting factor 3 d in.
~ Sail Application Ra;-2
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toriz~n Depth Dominant Color } Redox Description Ta.°ture Structure { Consistency Boundary I Roots GPDI F tl in_ Munseli iJ Qu. Az- Cont.
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GST Dame (Please Print) Signature i CST Num bar
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Address 1503 Fairway St: Date Evacuation Cond cicd Telephone Number
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(H) 715-834-8610 (C) 715-5774383 SBD-8330 (804115)
CST, MPRS-224974, D-1152
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3 1 Borino = Q Boring /
g Pit Ground surface elev. 9,76 =4 Depth to Gang iacYore~A- in.
l Sail j torn Application Rate I
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_iiluent t~i = BOD, > 30 s "90 ing1L and TSS > 30 s , 50 rng/L ' Effluent-#29 = HOD. > 3O c ??p malL and T SS > 3():s 150 mar
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