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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> DIVISION <br /> INDUSTRY, <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 <br /> HUVAN RELATIONS <br /> Gov't. Lot 5 (1 LHR 83.0911) &Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO, ISUBDIVISION NAME: <br /> 1/. %115 J39111/1114, /9441 RUSK I I N/A JCSM V. 3 P. 28 <br /> COUNTY: MAILING ADDRESS: <br /> RNETT GENE KORDUPLESKI 1964 DEER TRAIL RD SPOONER WI 54801 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS: COMMERCIAL DESCRIPTION: IL DESCRIPTIONS: A IONTESTS: <br /> 3 N A <br /> ®Residence El New ®Replace I 8/4/92 8/4/92 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLOING TANK:RECOMMENDED SYSTEM:(optional) <br /> ®S ❑U ❑S DU ❑x5 ❑U ❑S X❑U ❑S A 720 ft2 CONVENTIONAL <br /> If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the <br /> under s. ILHR 83.091511b1,indicate: N/A Il Floodplain,indicate Floodplain elevation: N/A <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.HIGHESTTO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> 10"7 .5YR3/2 sl ts, 10-60"7 . 5YR5/4 med s , <br /> B- 1 74" 96 . 2 none > 74" "7 4 ar med s 66-72"7 . 5YR5 4 <br /> med s . <br /> B- <br /> 9"7 . 5YR3/2 sl ts ,9-60117 . 5YR5/4 gr med s , <br /> B- 2 74" 96 .4 ' none > 74" 606-74"7 . 5YR5/4 med s . <br /> 9"7 . 5YR3/2 sl ts , 9-56117 . 5YR5/4 med s , 56- <br /> B- 3 74" 96 . 3 none > 74" 62" -7 " <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. PERIOD PERIOD P R PER INCH <br /> P_ 4 34" none 1 3 <br /> P- r, <br /> P- F <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 <br /> 1 £ 40E_: ,NO H <br /> -- a°Y4; i - — — ABM ELEV: 1 1Q0 . , <br /> - I$Yo B0 TOM OF DOUBLE <br /> WINDQW SI4L WE$T <br /> ±f«! r & SIDE OF HOME) <br /> ,r eyjbt 6 WELL LOCATED - <br /> .� <br /> t� TN <br /> _r <br /> I _ <br /> 1 <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 hods specifel Ire Wisconsin <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and be d-/O"r" Jq3 <br /> NAME (print): M & K TESTS WERE COMPLETED ON: [ <br /> SEPTIC & EXCAVATION 8/4/92 <br /> ADDRESS: An TM <br /> �( CERTIFICATION NUMBER: PHONE NUMBERIoptionall: <br /> r <br /> .S /Grier ,p 3669 <br /> ,I 15)W 7482 CST SIGNATURE: <br /> DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />