Laserfiche WebLink
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 <br /> HUMAN RELATIONS <br /> (ILHR 83.0917) &Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO 1131_ .NO.: SUBDIVISION NAME: <br /> SF 1/ 0911 34 /T 4oN/R 14V// SCOTT N A N A N/A <br /> COUNTY: MAILING ADDRESS: <br /> BURNETT MARVIS HERATH HCR59 SHAKE ROAD #s27549, SPOONER, WI 54801 <br /> USE DATES OBSERVATIONS MADE <br /> Ir NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE D€32 PTIONS: ATION TESTS: <br /> Q'Residence 3 N/A ❑New Replace I 8/6/91 8/7/91 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SVST EM:(optional) <br /> C <br /> �S ❑U 11SMU n ❑U ❑S X❑U I ❑S ©U 720 sq ft CONVENTIONAL <br /> DE <br /> If Percolation Tests are NOT required SIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.0915)Ibl,indicate: .62 Floodplain, indicate Floodplain elevation: N/A <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTHTOGROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 76" 96.5' <br /> NONE > 76" 2276"735YR4/4/1 Ell tgr Med"s. YR gr sl, <br /> S1 s, - gr Sit, <br /> B- 2 76" 95.6' NONE > 76" 20-76"7.5YR4 4 gr med s. <br /> B- 3 76" 1 95.7' NONE > 76" SAME AS #1 <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERI0D2 P Iff R PER INCH <br /> P- 33" none 1 < <br /> P- 5 22" none 1 Q <br /> P_ none 1 <br /> P- <br /> P- <br /> P- <br /> PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- <br /> zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent <br /> of land slope. <br /> SYSTEM ELEVATION 93.8' <br /> - I _ NOTE NO SCALE <br /> A BM E'LEk. 100.0' <br /> (NAIL IN OMR POiLE) • .. , <br /> WELL!, LOCATED - <br /> v" , <br /> TN <br /> e <br /> I ' <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. -f 1 _?Z. <br /> NAME (print): TESTS WERE COMPLETED ON: [ <br /> M & K 8/7/91 <br /> ADDRESS: EXCAVATION--SEMICCERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> HCR 59, Box 4784 3669 <br /> op <br /> mer, 54801 ST SIGNATURE <br /> (715)835-7482 ^6A <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. u <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />