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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY,BOR ANC DIVISION <br /> HAMAN REBOX 76 <br /> DATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> OVrt.LOT (ILHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> !/14 1 24 IT 41 NIRi7 E (or Swiss Town-ship 1 CSM V 2. 13, Pg. 154 <br /> LCOUNTY: MAILING ADDRESS: <br /> LBCOUNTY: <br /> BAian WeidendoA4 Rt. 81 Box 205 Mona, MN 55051 <br /> USE DATES OBSERVATIONS MADE <br /> NO-BEDRMS,: COMMER IAL DESCRIPTION: I�TLE-DESZ NS: A ESTS: <br /> ®Residence 2 _____------ ®New ❑Replace Sept. 28, 1992 Sept. 28, 1992 <br /> RATING:S=Site suitable for system U=Site umuitable for system <br /> ONVENTI NAL: MOUND: IN-GROUN6PRESSURE: SYSTEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> ❑x S ❑u I ❑x S ❑u I ©S ❑u ❑S X❑u ❑S �u Convention, <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: NIA <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE,AND DEPTH <br /> NUMBER DEPfH IN, ELEVATIGN OBSERVED ES HE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B• 1 7211 98.5 None >7211 0-6" D Bn 25; 6"-24" Bn w eo ; - n me <br /> s wlcob <br /> B- 2 7211 98.5 None >721t same " B1 <br /> 3 721' 98.9 None >12" 0-61' Dk Bn Xis; 6"-29" Bn w co - n me <br /> B- s w/cob <br /> B- <br /> 4 7211 98.7 None >72" 0-511 Dk Bn t-s; 5"-2711 Bn ts w/cob; 27"-72" Bn med <br /> B- 5 72" 99 None >7211 0-61' Dk Bn N 6r'-30" Bn P6 w1cob; 30'1-72" Bn med <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 PERI D2 PPERINCH <br /> P- i 2411 None 5 1 718 1 13116 1711 16 <br /> P- 2 None 5 1 13/16 _1 _1 TF1_6 19 16 <br /> P- 3 None 2 1 718 1 3 4 3 <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 96.5 Scale 1"=401 except whe)te noted. <br /> -- App. 7801 - -- , - <br /> 1614=11 001.0 8enchmaAk; HRP B VRP,'' Nath .in base <br /> 04 8" Uak;, v & <br /> r ... _ L <br /> t ..� <br /> A Bohlen9 _ , nP$ <br /> Peh'cst <br /> BiPI. <br /> � JN <br /> AppAoxma <br /> Ltety 8 Acnes Q w <br /> , <br /> ._.._ J 0 <br /> P34 <br /> B3 e + <br /> _ <br /> 7 <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by mein accord with the procedures and met hy�ds specified n the Wisconsin <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge an beef. <br /> n ✓` <br /> NAME(print): TESTS WERE COMPL T D N: <br /> Wade Ru4shokm SeptembeA 28, 1992 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(o tional): <br /> 24702 Lind Road P.U. Box 514 SiAen, W1 54872 3583 (715) 349-7286 <br /> CST SIGNATURE: <br /> DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. <br /> DILHR-SBDE395 (R. 10/83) —OVER — <br />