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DEPARTMENT OF REPORT ON SOIL, BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY', DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 53BOX 707 <br /> HUMAN RELATIONS (H63.090) &Chapter 145.045) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDI VISION NAME: <br /> SW 1� St 5 �T40 11/1116x r)w Oakland 8 na Pardun's Riverside <br /> COUNTY: OWNERS BUYER'S NAME: MAILING ADDRESS: <br /> Burnett Roger DuFour RR4 Northfield, MN 55057 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS: COMMER ALDESCRIPTION: (PROFILED RIPT ONS: ATION TESTS: <br /> ❑Residence ria na Campground [ New ❑Replace 9/5/84 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVEccNTIONIAI''L: MOUN(D�: 11 IN-GROUNccD-PRESSURES STE(c�M-IN-FILLHOLDIIcN�G TANK: RECOMMENDED SVSTEMaoptional) <br /> ©V 0Y ®V �{� �J 110 EIS ZU EIS EA <br /> DESIGN RATE: <br /> If Percolation Tests are NOT required DI If any Portion of the tested area is in the <br /> under s.H63.09(5)(b),indicate: na Floodplain indicate Floodplain elevation: na <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 7 96" 99.60 none 96" 5" Bls, 20" R med sr 65" ROB w/gr. <br /> B- 8 96" 100.50 none 96" 5" B1 s, 22" R med s, 69" R c s w/gr. <br /> B 9 96" 101 .50 none 96" 5" B1 s, 19" R med IS, 72" R c s w/gr. <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATER (INCH ES <br /> NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERI D1 PERIOD2 P R <br /> P <br /> P- <br /> PSee ge <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 11 <br /> See page 1 ,of 115 State # 8405212. <br /> _ ' TN <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): TESTS WERE COMPLETED ON: <br /> Joan E. Daniels 9/5/84 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional); <br /> Box W Siren, WI 54872 CST 3431 715-463-2333 <br /> CST NATURE: <br /> of <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. Y <br /> DILHR-SBD-6395 (R.02/62) —OVER — <br />