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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 /> (I LHR 83.0911) & Chapter 1451 <br /> LOCATION: SECTION: / TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> SWI/ SE 1/ 14 /T4o N 117.4 r)W SCOTT N A N A N A <br /> COUNTY: MAILING ADDRESS: <br /> BURNETT TRACY DURAND 1598 CHRISTNER ROAD SPOONER, WI 54801 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: II ROFILE DESCRIPTIONS:1PERCOLATION TESTS: <br /> QResidence 2 N/e. New ❑Replace l 5/7/71 5/7/91 - <br /> RATING:S=Site suitable for system U=Site unsuitable for system It <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:l optional) <br /> ]S ❑U KS <br /> EIU XXS E]U E]S XX U ❑S MU CONVENTIONAL <br /> DESIGN RATE: <br /> If Percolation Tests are NOT required DIf any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: N/A I Floodplain, indicate Floodplain elevation: N/A <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOILWITH THICKNESS, COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN. ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 72 95.9• NONE 2 " YR3 1 sl ts,5-22"5YR4 4 s1,22-72"SYR <br /> > 7 4 fs, <br /> B- 2 72 95.8• NONE > 72 SAME AS #1 <br /> "5YR3 1 sl ts,5-21.5YR s1,21-72"SYR <br /> B- 3 1 72 95.9• NONE > 72 /4 fs. <br /> B-4 72 95.6" NONE > 72 3AME AS #3 <br /> S1 s, - R s , -7 YR <br /> e- 5 72 95.6• NONE > 72 4 fs, <br /> B- <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 PERIOD PER PER INCH <br /> P- 32 none 1 <br /> P- 30 none 1 < <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 93.3" ALTERNATE 93.00 <br /> I I I <br /> NOTE : NO SCALE <br /> P / � <br /> s ABIt EIEV. 106.0* <br /> (BOTTOMOg WINDOW S111, NEJ _ <br /> &3 357 <br /> -0 OR 0 HOUE1 <br /> Az . <br /> WELL LOCA"D <br /> f <br /> ZDO <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and meThoc!Mp4cified in the Wisc sin <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. e -4-1, <br /> �/ to <br /> NAME (print): SEPTIC & EXCAVATION TESTS WERE COMPLETED ON: /St/ <br /> 5/7/91 <br /> ADDRESS: 1,0��,, Box 47M CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 5M13669 <br /> --flimme-35-4 482 C GNATU E: <br /> DISTRIBUTION:Original and one copy to Local Authority, Property Owner and Soil Tester. <br /> DI LHR-BBD-8395 (R, 10/83) -OVER - <br />