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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY„ DIVISION <br /> LABOR AND, PERCOLATION TESTS (115) MADISON WI 53707 <br /> HUMAN RELATIONS <br /> GL'2 (ILHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: tr� TOWNSHIP/ OT NO.:BLK.NO.: SUBDIVISION NAME: <br /> Y4 Y. 26 /T38 N/R18//Vor)W Wood River na na na <br /> COUNTY: MAILING ADDRESS: <br /> Burnett Giulio Casci 2210 Bush St. St. Paul, MN 55119 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMM R IAL DESCRIPTION: ATESTS: <br /> ®Residence 2 NA ❑New FDReplace I na <br /> 5/24/89 <br /> RATING: S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDI NG TANK:RECOMMENDED SYSTEM:(optional) <br /> ❑S 2111 [IS �U [:]S <br /> S D U EIS D U ES ❑U Holding tank <br /> If Percolation Tests areNOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: ria Floodplain, indicate Floodplain elevation: ria <br /> PROFILE DESCRIPTIONS <br /> BORING TOTALPTH T ROUN DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN,I ELEVATION OBSERVED EST.HIGHEST— TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> Soil at the site of original system appeared <br /> to be all bn f s fill material. <br /> Soil north of 12' high retaining wall is gravel <br /> B- <br /> B_ Soil <br /> rB- <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> FTES7 DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> i NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERI D2 PERIOD PER INCH <br /> P- <br /> P- <br /> P- NOP RC TAKEN <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-/Y <br /> apnl"'1 s I I , <br /> _ to_t, to,west) <br /> - -Vol '2 Pg 0 7�ae� restrictive slope & <br /> gavel YJ lot size eliminates <br /> Till- parking any other type of <br /> / sewer system <br /> retaining <br /> Wall 12' Sigh -- <br /> �99 <br /> �homem. d . <br /> non-code compliant ----- -- <br /> system removed __systemremoved <br /> pumped & filled <br /> WoodSite verified by County Z.A - -- <br /> ---- --- 5/24/89 5/24/89 <br /> Lake <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) ITESTS WERE COMPLETED ON: <br /> Joan Daniels _ 5/24/89 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> PO Box 316 Siren WI 54872 431 715-349-5533 <br /> JCSnSIGNATURE: <br /> DISTRIBUTION: Original and One copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD6395 (R. 10/83) —OVER — <br />