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DEPARTMENT OFREPORT ON SOIL BORINGS AND SAFETY & BUILDING <br /> INDUSTRY, DIVISION <br /> LABOR ANDPERCOLATION TESTS (115) MADISON W 53707 <br /> HUMAN RELATIONS <br /> (ILHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP OT NO.:BLK.NO.: SUBDIVISION NAME: <br /> SE % NW 1/4 19 /T40 N/k4 WIWI SCOTT LOT SM V. 9 P. 282 <br /> COUNTY: MAILING ADDRESS: 612-559-4251 <br /> BURNETT RICHARD REINHART 14136 GOLDENROD LANE PLYMOUTH, MN 55441 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS: COMMER IAL DESCRIPTION: PROFILE-6E$CHESTS: <br /> }Residence 2 N/A ❑New Replace 106-28-1991 N/A <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVINTIINAI: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDING TANK-JR ECOMMENDED SYSTEM:(optional) <br /> KSEA X❑S ❑U ®S ❑U ®S ❑U ❑S ®U EXISTING SYSTEM - SEEPAGE PIT <br /> Y DESIGN RATE: <br /> If Percolation Tests are NOT required If any portion of the tested area is in the N/A <br /> under s. ILHR 83.09(5)(b),indicate: N/A Floodplain, indicate Floodplain elevation: <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.HIGHESf_ TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 121 94. 4NONE >121 0-5" B1 S1 , 5-121" Bn all <br /> B- <br /> B- <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> EST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. p RIOD1 PERIOD2 PERIOD 3 PER INCH <br /> NIA <br /> PN A <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. 0 <br /> SYSTEM ELEVATION 87.58 <br /> sr.FJ F: V - 49! <br /> <-- TO DH=D2 ROAD - FIRE is 28262' BOTTOM OF tID1MG <br /> WELL )" <br /> CRBItI ' <br /> EXISTING SEPTIC TANK <br /> M r <br /> EKSTM SEEPAGE PIT (8�" DEEP) ) U <br /> Cfo,a' PRIVY •)[I <br /> w NORTH <br /> i <br /> t , <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. <br /> NAME print KEN STRABEL TESTS WERE COMPLETED ON: 46-28-1991 <br /> TD-DRESS' 7735 AIRPORT ROAD WEBSTER, WI 54893 CERY1GNATUR NUMBER. PIfF'1(JE�C�I� R all: <br /> CST SIGNATURE: <br /> ��11 JJ JJ rY� <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD6395 (R, 10183) — OVER — <br />