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DEPARTMENT OFREPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, DIVISION <br /> P.O. BOX 7969 <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 <br /> HUMAN RELATIONS <br /> (ILHR 83.0911) &Chapter 145) �' v'E, LOT S <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOTNO.:BLK.NO.: SUBOIVISIONNAME: <br /> 1/4 1/4 13 /T40 N/R 15E (or) Jackbon Tow"Up 3 CSM V t. 10, Pg. 35 <br /> COUNTY: MAILING ADDRESS: <br /> BuAnett Robent Meyers 8 LaAAy LaAzon 4721 ShaAon Lane (white BeajL Lake, MN 55110 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDR : COMMERCIAL DESCRIPTION: S: A ESTS: <br /> Residence 1 <br /> 2 ------------ ❑New Replace I Sept. 26, 1493 Sept. 26, 1993 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLD ING TANK:R ECOMME NDED SYSTEM:(optional) <br /> Ox S OU ©SOU XO S OU EIS OU O S ©U Conventional <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: NA <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GR UN DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED I EST. HIGHESTTO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 72" 97.8 None >72" 0-5" Dk Bn P6; 5"-22" Bn Ps; 22"-72" Bn med. e <br /> 0-4" Dk Bn ; 4"-21' n "; 2111-7211 Bn med. e <br /> g. 2 72" 97.5 None >72" <br /> B_ 3 72" 97 None >72" <br /> 0-5" Dk Bn P5; 5"-23" Bn Zs; 23"-72" Bn med. s <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD 2 PERINCH <br /> P- I 2gn None 5 2 1 718 1 314 3 <br /> P- 2 24" None 5 2 1176 2 1 718 3 <br /> P- 3 18" None 5 1 718 1 314 1 9116 3 <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 rcent <br /> of land slope. <br /> SYSTEM ELEVATION 95.5 Scale 1"=40' except wheAe noted. <br /> l - — <br /> ,- <br /> I <br /> - L - <br /> _ 4tN <br /> t 'C7 <br /> oP] `- _. _. Cabin- = a fNe <br /> B3 A P3 d BIBM- J1 <br /> P2 Q B2 <br /> BM=10p.01 BenehmcvLk, HRP, E VRP, B�ttgm 96 4idng, <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and meth��dd_s�nsp�a{fiifled in the <br /> Wiisrn�n <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. p S 97 0 D <br /> NAME (print): TESTS WERE COMPLETED ON: <br /> (Dade Ru eholm Se temben 26, 1993 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 24702 Lind Road P.U. Box 514 Siren, W7 54872 3583 (715) 349-7286 <br /> 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 />