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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> DIVISION <br /> INDUSTRY, <br /> LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 <br /> 3707 <br /> HUMAN RELATIONS MADISON,WI 53707 <br /> (ILHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/XMMMMRKMXX LOT NO.:BILK NO.: SUB IVISION NAME: <br /> GL4 t1111t11V. 11111111' 15 /T38 N/R1541D)OW LaFollette na na Ina <br /> COUNTY: OWNER'S/5tl7t)WX5tk*W: MAILING ADDRESS: <br /> Burnett Dan Searles Hertel, WI 54845 <br /> USE DATES OBSERVATICII JS MADE <br /> NO.BEDRMS.: COMMERCIALDESCRIPTION: _ PROFILEDESCRIPTI NS: PERCOLATION TESTS: <br /> I-IResidence 4 na _ ❑New Replace 10/8/87 10/9/87 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTE :(optional) <br /> ©S ❑U I ®S ❑U I ®S ❑U I EIS <br /> x❑U ❑ ©U Conventional _ <br /> DESIGN RATE: <br /> If Percolation Tests are NOT required If any portion of the[est ed area is in the <br /> under s. ILHR 83 09(511b),indicate: na Floodplain, indicate Floodplain elevation: na <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNDWATER-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 2" 1Do- <br /> 0 none >72" 6" Dk Bn sl is 66" Bn med s. <br /> B- 2 72" 100 0 none >7211 4" Dk Bn sl . 38" Bn med s , 30' f s slightly comp. <br /> B- 3 108" 104.55 none >1081, 4" Dk Bn sl, 70" Bn med s. 34' Bn f s. <br /> 13- <br /> B- <br /> 13- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> -NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD2 PER PER INCH <br /> P_ 1 18" none _ 10 3 V8 <br /> P- 2 is" none _ 10 3 5/8 /8 317 <br /> P- 3 66" none 10 2 1 /8 21 2 1 /16 <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 dis antes. 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 bo ngs and the direction and percent <br /> of land slope. <br /> SYSTEM ELEVATION 99.00 <br /> Pok6amo, La i& <br /> D - Bore hole <br /> /�. • - Perc test <br /> Garage / BM Cement slab in <br /> garage door, marked <br /> w/X <br /> 4 bd m Ass 'd ele 100.00 <br /> fai�i ,g home •,r 331 B3 �H <br /> system well .r _ - _ <br /> 820 sq ft <br /> 71 P11 <br /> 110% suitable area <br /> 0% <br /> buried elect. , frf-� 43- Slope to be altered to <br /> line to be marked �I 82 meet 18" co er as per code <br /> Note: Septic tank must be min <br /> M 25' from we 1 and seepage bed <br /> dg, min 50' from well. <br /> CVAn P�tttl� M A rs <br /> I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and nethods specified in the Wisconsin <br /> Administrative Cotle,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. <br /> NAME,NAME(� iTESTS WERE COMPLET D ON: <br /> Joan E. Daniels 10/9/87 <br /> ADDRESS: CERTIFICATION NUMB R: PHONE-3NUMBE R(optional): <br /> Box W Siren. WI 54872 3431 / 171055499-5533 <br /> CST IGNATURE <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Sod Tester. l <br /> DILHR-SBD-63951R. 10/83) —OVER — <br />