HomeMy WebLinkAbout032-1089-60-025 lot 5
1 11
'+:iscnnsin :7e ammen! of Safely and PrnfesCh'al Sen+ix Pa^,e of -
Division of lndastlySorrces \11 ~t
IL EVALUATION REPORT
ccordance with SPS 385.'>vis Adm Code County
A::acb completes to plan on p upo 'lot 100 than B f'2 x 11 n chug io site. Plan must include. Trc r
but not limlted to. vi and iw i.cntal rc4 r n c point 113111 drect en and per"111 slope- Paree! I.D Pe{ 4 rl : O$ OZS-
saale. or drf ensiens• n(>nh arrow , ce,n IoreiCn and d slanto in roared mad.
Please print all information. Revievood by - Date r
Personal irl;;nla iun you vviu maj be u_,c9 'or suwndary pu'{:uses ;Pri acy Law, s 15.04r11irr i). _ _ _ ' ~ 1 rvvtt~ r
Property Oyvner Prcnerty Local on I ❑LT
Gor,. Lot Y ! S I N R E (or)
ProporN Otivner s Nailing Address Lot Q Block C Syod, Name or CTJ9
I City J Stale Zip Code Phone Number ❑ Cily ' ❑ village Town )j Nearest Road
New Construction Use. Residontial:Nuntberof beCrcoms. i-~ Code derived cosign low rate :~7:GPD
❑Replacement ❑ Public or cowworcial - Doscfiue. _ _ - - ;
Parent rnaterlal Flood Plan ele:•aticn it applicat:le'4/L ft.
General con'ments and reco•nmendatiorls
Being T., During
LL KI Pt Grcand surface elev. R. Depth to lirnIling (actor A- _ It-.
Soil AppLCaticn Rate
Hon/i:r UepVt Ikmlinanl Cillor Renox nPscrplion Texture Slnrcta•e Consistence Douneary Roots GPU:FI`
In, morsoll Ou Az. Con:- Color Gr. $z. Sh. •Eff?7 'Eff#2
e u
A/ A,
Boring n ❑ Donny
Pit Ground surface e'ev r::.`3 R Depth :o limitirg factor it in.
Sail AppLaaIii Rate
Horiwn Dept-1 Damr-arl Color Hedox Deacriet on Texu.re S!rurture Consistence Docndary Roots GPD:Ft'
/ In h!ursoll Ou. Az. Cont. C, or Gr. S>. Sh. _ •E"I 'F"2
J ~ r 1~'r
-71
'Lfflucnt41 -DO7.>301220wj1an:l 'L'flucnt 42-DOD. > 301220 ni and TSS>:101150 mc;L
CST Hacae i,Plepse Print Signa'urc ) / - j' CST Nurnucr -
Address ' Date Evaluation Conducted Telephone Nu•nber
Borng # ❑ Rnring C
Pl Gie.lnd sm`ace clev.' H. Depth to Grading factor W.
Soil Application Rate
Hori>on -Depth I Uonnnanl 0:101 Redos Description Texlufo Structure C9ns'islerce Hcmridary' Roots GPDrFt'
In. Monse® Cu. Az. Coat Culur Gi. Sz. S "I. *Ent 'Eff#2
J
Bonrg k Bo
U P I Gm.ind sur`ace. elev. H Depth to Ironing factor in.
Sol Anoka: or Rate
Horizon Depth Dominent O)Ior Reaox Descr. plion Texture Structure Consistence Rcundary RoeGPD:Ft`
Ir. 1.4.msoll Ou. A>, Can; Color Gr. Sz. Sri 'FIf#1 'Eff#2
Boring # ❑ Boring
❑ Pit Ground surlace elev. ft Uen:h to limiting factor in.
oil Application Rate
Horizon Doptn Dominant Color Redo. Ues::npnan Icx4ure Slructoa: Consistence Bnundary Roets GPDrFt'
In. Munsol. Ou. Az Cnnt. Cote Gr. Sr Sh '6'141 61142
Elfluen: 41 = BOD. ? 3C < 220 mg!L and TSS > 30:5 150 mgt ' Fffluen: 12 - 90D, 30 5 220 myL and TSS > X) 1 150 m(11
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