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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> / IVISION <br /> INDUSTRY, PERCOLATION TESTS (115) P.O.P.°- BOX 7969 <br /> LABOR AND' MADISON,WI 53707 <br /> HUMAN RELATIONS (ILHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: �y TOWNSHIP{A6UDITGPAUZY: OT NO.:BLK.NO.: SUBDIVISION NAME: <br /> SW'/4SW/420 /T 40N/R14 SCOTT MAILING ADDRESS: 7&8 NA NA <br /> COUNTY: <br /> BURNETT LaD*Am.V LION RT #1 BOX 228 HINCKLEY MN 55037 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEURMS.: COMMERCI AL DESCRIPTION: <br /> Residence 2 NA 0511/89 <br /> New ❑Replace I NA <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: SURE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> ❑S ®U ❑S ©UIN-GROUNDPRFS <br /> .[:]S ®U ❑S ®U ®S ❑U HOLDING TANK <br /> If Percolation Tests are NOT required DESIGN RATE: It any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: NA Floodplain, indicate Floodplain elevation: <br /> NA <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL 77M HARACTHICKNESS,COLOR,TEXTURE,AND DEPTH <br /> NUMBER DEPTH IN. ELEVATIONO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> 1 60 95. 04"5YR5/2 sil ts, 4-8"5YR7/1 si,w/fff 7 . 5 <br /> B- YR6 72 48 96. 53"5YR5/2 sil ts, 3-12"5YR7/1 si,w/fff 7 . 5 <br /> B_ YR6 73 48 96. 7 SAME AS #2 . <br /> B- <br /> 4 60 92. 5 NONE 8 SAME AS #1 . <br /> B- <br /> NONE 0 '5yr5 2 sil ts, 4-10"5YR7 1 si,w fff 7 . 5 <br /> B- YR6/7 mot,10-60"5YR4 4 fs w band @ 44" . <br /> B- <br /> PERCOLATION TESTS <br /> 01 <br /> .. EST DEPTH WATER IN HOLE TEST TIME DR I WATER L V L-I H S RATE MINUTES <br /> `: PER INCH <br /> # NUMBER INCHES AFTERSWELLING INTERVAL-MIN. P RIOD1 P RI D <br /> P- <br /> P- <br /> P - <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 NA <br /> L L �0A }E <br /> OAK !.A►C£ _ H ( AIL IN� �— ) <br /> r <br /> IN <br /> asI <br /> qo <br /> if <br /> bqo - <br /> 1 <br /> } i <br /> 4t �W <br /> a- <br /> Lg _ <br /> 09 KE e(r <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. <br /> ----"-- TESTS WERE COMPLETED ON: <br /> NAME (print)". <br /> MELVIN J. FERGUSON AUGUST 11,1 989 <br /> ---- --- --- CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> ADDRESS: 3669 715-635 7595 <br /> P.O.BOX 71 , SPOONER, WI 54801 <br /> C IGNATURE: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6 95 JR. 10183) -OVER - <br />