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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY&BUILDING`: <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON,WI 53707 <br /> HUMAN RELATIONS <br /> (ILHR 83.0911)&Chapter 1451 <br /> FC6CATT6N:—Tse?,,TT(5N—.---------- TOWNSHIP/MUNICIPALITY: OT NO.:BLK.NO.'.SUBDIVISION NAME'. <br /> SWINE 11 34 /T 4oN/R14f/�(WI SCOTT . 1 N/A N/A <br /> COUNTY: MAI LING AODF 55'. <br /> BURNETT_ LADONNA L_YON_.___ RT 2 -BOX_228 _HINKTI.Y, MN 5503L <br /> ____..._. . <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMA: COMM R IAL DESCRIPTION: N TESTS <br /> lesidence 2 N/A — L]New ❑Replace 1 PRO jj/Irj/91 <br /> RATING:S-Site suitable for system U-Site unsuitable for system n L— <br /> ONV ENTI NAL: MOUND: IN-GROUN E:SYSTEM-IN-FILL HOLDING TANK:flECOMMENEED SVSTEM:(optional) <br /> ❑S ©� ❑S ❑D ❑S ©� ❑S 0� ©$ ❑� HOLDING TANK <br /> If Percolation Test,era NOT re9uiretl DESIGN RATE: If any portion of the tested area is in the <br /> under s.ILHR 83.091511b1,indicate: R. <br /> A Floodplain,indicate Floodplain elevation: A/H <br /> PROFILE DESCRIPTIONS <br /> BORING TOTALPTHT GR UNOW 4TERINCHES HARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH <br /> NUMBER DEPTH IN. ELEVATION OBSERVED E HE TO BEDROCK IF OBSERVED(SEE ABBRV.ON SACK.I <br /> 2"7.5YR3 2 sl ts,2-12"7a5YR Bled s w ff: <br /> B- 1 28" 94.7' NONE 12 5YR5/8 BlotC12",12-28"7.5YR6 2 med Sr <br /> °7e YR sl s, � �1 me S w £ <br /> B. 2 24" 97.7' NONE 2" 5YR5/8 mot throughout,8-22"7.5YR6/2 med <br /> w cm Fact throughout,22-241-1.5YR <br /> B. 4/6 cl. <br /> s s, – me S,W _ <br /> B- 3 14" 95.4' NONE 14" 5YR5/8 mot@12",12-14"2.5YR2/0 pt. <br /> B NO OT R BORINGS TAKEN NO A SIZABLE FOR ALTERNATIVE SYSTEM <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IWATER LEVL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. pE-IQQI PERI P PER INCH <br /> P- HOLDING TANK LOCATION <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 hors <br /> zonal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and on- <br /> of land slope. <br /> SYSTEM ELEVATION N/A <br /> NOTE:' NOSO',ALE 1 <br /> srifP P' E BBIL 100.'0' <br /> ' # ryl <br /> I . I <br /> (NAIL IN 5" NORWAY) <br /> n°'. V I NO WELL <br /> Ito <br /> tN <br /> 1 <br /> �I^D <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) � TESTS WERE COMPLETED ON: <br /> MEL J. FERGUSON _ SEPTIC &�EXCAVATION 8/15/91 <br /> ADDRESS: , WA Y/OU CERTIFICATION NU HER, PHONE NUMBERInp15m,P. <br /> HCR 59 BOX 4784 SPOONER, WIc� 11 ' I ,nSdA 3669 -�,5_�gy-74�yZ� <br /> (715)635-7482 C IGNATU E: <br /> DISTRIBUTION:Original and one copy to Local AUthooty,Froderty Owoea•and son Taster. <br /> DILHR-SBDZ3951R.101831 -OVER- <br />