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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) P.O. BOX 09 <br /> HUMAN RELATIONS MADISON,WI 5373707 <br /> II LHR 83.09111&Chapter 1451 <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISIONNAME: <br /> 1V4 !/426 /T39 N/R 16E (or Meenon Townshp ped. ENE <br /> COUNTY: MAILING ADDRESS: <br /> Bwtnett CaA2 GAaphenteen 6247 Peteheon Road WebsteA, WI 54893 <br /> USE DATES OBSERVATIONS MADE <br /> rye NO.BEDRMS.: COMMER AL DESCRIPTION: PROFILENS: PERCOLATION <br /> TESTS-2 -- -- -- —]New ®Replace Oct. 13, 1993 Oct. 13, 1993 <br /> RATING: S=Site suitable for system U=Site unsuitable for system <br /> ONVEpcNTIONAL: MOUN(D�: IN-GROUND-PRESSOR : SYSTEM-IN-FILLHOLDINGTANK:RECOMMENDED SYSTEM:(optional) <br /> FAJ ❑U ©J ❑U x�s ❑U ❑S ©U ❑S fx1U I Conventionae <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the NA <br /> under s. ILHR 83.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL PTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED ES 1.HIGHESTTO BEDROCK IF OBSERVED (SEE ABBR V.ON BACK.) <br /> 0-511 Dh Bn P • 5"-60"A-med. 60"-72" Ba bS w R <br /> B- 1 7211 98 None 60" mot emd <br /> B- 2 72" 97.9 None 5811 0-4" Dh Bn Xs; 4"-58" Bn 6-med. s; 58"-72" Bn 4z <br /> B- 3 72" 97.9 None 6011 came ams B1 <br /> B- <br /> B- <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. PERIODI PERIOD P PER INCH <br /> P- 1 2111 None 5 1 518 1 9116 1 7116 4 <br /> P- 2 20" None 5 1 9116 1 7116 I 5116 4 <br /> P. 3 201, None 5 1 518 1 112 1 7176 4 <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 /> SYST M ELEVATION 96.3 Seate 111=401 except wheAe noted. <br /> r I <br /> I - <br /> -- � I B I I �-- 1 <br /> a I <br /> I . _ _.1 <br /> I <br /> L 11 ) -1Wett <br /> — <br /> X I <br /> - } <br /> _BM-.100.0�BenchmgAh, HRP_I8 l!RP, _ Bdttol o s�'d g.� <br /> I Q_$ 1 f r <br /> _ Ain !°plc � �__ � 1 � � <br /> o7 <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 /> C7ade Ru zhotm OetobeA 13 1993 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 24702 Lind Road P.O. Box 514 SiAen WI 54872 3583 (715)349-7286 <br /> CST SIGNATU <br /> G.C�CL- �- ur77i-1 <br /> DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R, 10/83) —OVER -- <br />