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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 7969 <br /> HUMAN RELATIONS MADISON,WI 53707 <br /> (ILHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> E 1/4 NE '/41 26 /T38 N/R in wr,W I WOOD RIVER <br /> COUNTY: MAILING ADDRESS: <br /> URNETT LORIA DAHL 23891 NYBERG RD. SIREN, WI 54872 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: S: S S: <br /> ❑Residence 3 N/A ❑New Replace 105-27-1993 N/A <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVE�NeTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> ❑J ®U ❑S ®U ❑S ®U ❑S ®U ®S ❑U HOLDING TANK — 2000 GAL. <br /> DESIGN RATE: <br /> If Percolation Tests are NOT required DESI If 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 DEPTHTOGROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE,AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED HE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 16 100.5' 14 10 0-10" B1 1, 10-16" Bn 1 w/ccd R mot <br /> B_ 2 26 98.5' NONE 10 0-10" B1 1, 10-26" Bn 1 w/ccd R mot <br /> B_ 3 30 102.0' NONE 9 0-9" B1 1, 9-30" Bn 1 w/ccd R mot <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> EST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOO1 PERIOD 2 PER INCH <br /> PN SIl N/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. <br /> SYSTEM ELEVATION N/A L <br /> --.. - _--T— - _. -- - CRO ST VN �ROR-- ---1----�--- --( <br /> ---� I ( { �-- <br /> �__ — <br /> _ <br /> W <br /> L -_ - <br /> to <br /> 1#3 i o q BIS---- ! ---a <br /> Y W <br /> - -_ <br /> 00 1 J <br /> _+ BM Qo TN <br /> I'r SCALE.. :17 ` 90' F9 9L0 31"s3TL`fY - HOUSE �._. y Gpp• -__ <br /> .. <br /> J <br /> BM, H3RZ-. 8 NRP(EL.- 100.01 i<- VELL _ <br /> BOTTOM OF SIDING <br /> '_B SOft GfiRHGE <br /> l _ - - <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 s�VVVpeFified i e W is <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: 11181660 <br /> REN STRABEL 05-28-1993 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 7735 AIRPORT ROAD WEBSTER WI 54893 3322 15-349-2990 <br /> CST SIGNATURE: <br /> DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. <br /> DILHR-SBD£395 (R. 10/83) OVER - <br />