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SOIL EVALUATION REPORT/ p ,
'IgacrprqrogwltfgP5385 LVis, Adm. Code County
Attach con-plete s le plan or paper not rrss tharr81.12 x 11 I wl rl size. Plan must mi
but not I milec W vertical and hori3aHat ra.furcn(,f. rx: rd (B I. direction and pen:erl slope, Parcel LU ~Z-' In ' -211s~
scale or dnrensa:,m. non" arrow, anc lacallor and distance to newest road. _
Please print all information. Hevle•.ved by I Date
Femoral irfJrtneaOn you p'c'Af1e may h2 e5ed for SP.CC.nda(y Gb(pOSOS (PnVOC I,.w, S,
Property Owner / Profv:ry Lc%ebon ❑ a
I N R J E (or) W
Property O•.vnet'S btalliny Addw s I or ;r Rlock # Solid. Narnc m CSPr#
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f '114 1
City Slate- Zip Colo Phone- Number ❑ C.+/ ❑ Village ® -own Nearest Road
® New Constn.ruon Use-y,Ll RosidonVol.:Nunlberofbodrevms 1-'% C(xle derived do:uyr 11mv rate-_GPD
❑ Replacoment ❑ Public or commercial - Describe: j'
Pa'onUrolcnal %r./.. '1-,4/ Flood plan elevation if applicabte[~ it. 216k
Go•I wal cunv wri and roconunendalio•m.
; 7iF •`._r'I C'A-Cd,n4~1 e~lw ~q o
Hering
During E] ;~~L~y
f ❑ Pit Grednd surface elev. ~'L.:_L 4. Ucptl. L) h•n Nny facia
Soil Aoplica:ior Rate
Horzon Depth Dominant Cobs Reoox Desrnnl.ill, . Texture Stnsture Consistence Bourcary Rues GPD!Ft' _
In. Mursell :b: Av.Cant . Ccior Gr. Sz Sh. •Eff#1 I 'Erf#2
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Hc'ing C U Danny /
Pit Ground surface oleo. Depth to limi:icg laclor 1'.% _ in.
Snil Application Rate
Horizon Depth Dominant Color Rodox Description Texture Slr.lclure I Cn. nsislerro Boandary Roots GPD:Ft`
In. Munsell Qu. A>, Ccnt. C010' Gr. Sz. Sh. 'Eff41 'Eff#2
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ft - -I
6"lu( till #1 = _HOD, > 30 s 220 m. iL and TSS 3~ - 150 ~y:L Effluent #2 = BOD. > 30 220 rr:v?L and TSS > 30 s 150 mqfL-
CS I rryHtl+e (Plcasr f nnt) - Signa J/C , ~'1 / / CST Numheer
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Addreess Date llaluauon Conducted Telephone Number
- SHD-8330 (RN,15)
❑ Bnfm
Haring #
fit Ground sul*e elev. t. Deplh to limiting factor in.
Sod AppP:caucn Rate
1 fonzon Deptn Dom rant Colcr Redcx Bev. rip on I exlure Mr_tclure f < 9sisterre Boundary Roots GPD1 I'
In hh•rsell Ou. Az- Cat Co or G Sz. Sh. 'F"l 'Fff#2
❑Baring
Being t
❑ Pd Ground swfaru elev. -IL Depth to limiting facto, _ in.
_ 961 _Application Rata
Horizon Depth L`:unman) Colui Redox Descnclior 'exlr,re Strurlure Consistoncc Boundary Row GPDiFI'
In. Murset Ou. Az. Cont. Color Gr. S>. Sh. 'Eff#1 'F1f#?
Boring 9 D Baring
D Fit Ground surface rev. h. Depth to limiting factor in.
Soil Application Rate
Hnrvnn Depth Donnnas; Color Rodox Desa'ipricn lrex xp. Stnrrt:re Consistence Boundary Rants GPDi
In. felunsel'. Du. Ai. Cont. Color Gr. Sz. Sh. •Eff#l 'Eff#2
' LfOuen: - DOD, > 305 220 mgl and I SS > X), IMingrL ' E'9uent 42 - DOD, > 30 1 220 mgfL and 7SS > 30 5 150 mg!L
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