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DEPA E-,NT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
<br /> N T72Y, DIVISION
<br /> LABOR AND C P.O. BOX 7969
<br /> HUMAN RELAT!.ONS PERCOLATION TESTS (115) MADISON,WI 53707
<br /> 6 (I LHR 83.09(1) &Chapter 145)
<br /> QL
<br /> LOCATION: SECTION: ,�{{// TOWNSHIP/MUNICI PALITV: LOT NO.:B LK.NO.: SI�DI VISION NAME:
<br /> 27 /T38 N/1118/6 (oOW Wood River CSN Vol. 1,. P. 10
<br /> COUNTY: OWNER'S BUV ER'S NAME: MAILING ADDRESS:
<br /> BurnettTerry Swenson Grantsburg, WI
<br /> USEDATES OBSERVATIONS MADE
<br /> NO.BEDRMS: COMMER IAL DESCRIPTION: PROFIC�M RI TIONS: ER CATION TESTS:
<br /> 1�Residence 4 ❑New ®Replace I April 14, 1990 N/A
<br /> RATING: S=Site suitable for system U=Site unsuitable for system
<br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HO LDING TANK: RECOMMENDED SYSTEM:(optional)
<br /> ❑f s ©u os ❑u ❑s ❑u ❑s ❑u ❑s ❑u
<br /> DESIGN RATE: Not qualified' to
<br /> If Percolation Tests are NOT required If any portion of the tested area is in the
<br /> under s. ILHR 83.09(5)(b),indicate: X Floodplain, indicate Floodplain elevation: determine
<br /> PROFILE DESCRIPTIONS /d/'F%//Lt'NTt-�/ /t/c /,✓ Fceogo lliolAr
<br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,TEXTURE, AND DEPTH
<br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST. HEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
<br /> 1411 Bl sl, 2611 Bn med s , fcf YR mot at 40",
<br /> B- 1 60 99,5 None 40 811 fs, cod YR mot at 48", 1211 Bn med s /f£d YR m t
<br /> 1411 B1 sl, 2611 Bn med s, 21' fsl cmp YR mot
<br /> B_ 2 42 199. 0 None 40
<br /> B- 3 40 99-3 None 36 14" Bl sl, 2211 Bn med s , 411 Gy fs/ ccd YR mot
<br /> 1411 B1 sl, 2811 Bn med s, fm£ YR mot at' 2",
<br /> B- 4 48 9913 None 42 411 med s , 211 Bn fsl cmd YR mot
<br /> B- 5 56 �,,9 None 46 14" Bl sl, 3211 Bn med s, 101' fs/ fmd to cmd YR m t
<br /> B-
<br /> PERCOLATION TESTS NA 4i✓ ocf I7/ /y)/
<br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MIN TES
<br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD I P RIDD PERIOD PER INCH
<br /> P- see attached soils data as provided b' S.C.S.
<br /> P- i Z A11A 3, L 3, 3
<br /> Ziy
<br /> P- /2 11 2. - 7_ 9 L
<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 IVA
<br /> See attacherd cony .fr C ' M. holurne 11, Pale 10 for boring locations. ;
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<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 /> %2c.�Y/S Cvl, O C A / 7, /9
<br /> NAME (print): TESTS WERE COMPLETED ON:
<br /> Thomas E. Swenson April 14, 1990 / o7' /7, ti9/
<br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional):
<br /> 25900 Icehouse Bridge Rd. , Webster, WI 54893 2153 715-866-8445
<br /> CST SIGNATURE:
<br /> /�IO�YlC7P ,ju+e.YlSor-/
<br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester.
<br /> OII HR-SBD-6395 (R 10/R31 h -
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