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DEPARTMENT OFREPORT ON SOIL BORINGS AND SAFETY&BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR ANHUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> (H63.090) &Chapter 145.045) <br /> LOCATI SECTION: TOWNSHIP/MUNICIPALITY: - OT NO.:BLK.NOI SUBDIVISION NAME: <br /> Nd 28 /T40 N/R15 E (or)W1 Jackson <br /> COUNTY: OWNERS' BUYER'S NAME: MAI LIN ADDRESS: <br /> Burnett Bill Stadler Webster-, WI 54893 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DES RIPTION: STS: <br /> ❑Residence UNew ❑Replace I June 24; 1966 NA <br /> RATING:S-Site suitable for system U-Site unsuitable for system <br /> ONV NT NAL: MOUND: IN-GROUN EM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> ❑$ ❑U [is ❑U [:]S ❑U []S ❑U ❑S ❑U Privy <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s.H63.0915)(b),indicate: NA Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING .TOTAL P H T R UN DWATER-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 . 6o 98.0 none 7 60 20" is/grr, 1411 coarse- la/gr. 260, cs/gr <br /> B- <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS NA <br /> FTESTDEPTH- WATER IN HOLE TEST TIME DRO IN WA L V -IN H S RATE MINUTES <br /> INCHES AFTERSWELLING INTERVAL-MIN. p PERINCH <br /> PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate stale or distances. Describe what am the Kori. <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 96.o s <br /> nc i a bat sP�ke� othe s side �f Is ,11 aSpen, 12' al I Iov� ad . <br /> L -- - e a va 30 r 5e <br /> I-1- Su 30.0 <br /> LM - - <br /> -- <br /> !- 1 ¢ I <br /> ; *__ <br /> ::-4I <br /> 41 <br /> T-+- - <br /> I <br /> I,the undersigned,hereby certify that the soil tests reported on this form were ode 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 /> Thomas E. Swenson June= 24, 1986 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> Route 3, Box 185, Webster, WI 54893 2153 1715-866-8445 <br /> TSI NATURE: <br /> 7h4»4d darer-1 <br /> DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD6395 (R.02/82) —OVER— <br />