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T Y, OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, <br /> INDUSIVISION <br /> LABOR AND PERCOLATION TESTS (115) P.O.PBOX 7969 <br /> HUMAN RELATIONS MADISON,WI 53707 <br /> II LHR 83.0911)& Chapter 145) <br /> LO ATION: SECTION: TOWNSHIPIMUNICIPALITY: LOT NO.:BLK.NO.: SUBDI VISION NAME: <br /> 1/4 1�T39 NIR16 E (or • Meenon Townslii 1 CSM V P. 1 Pe. 290 <br /> COUNTY: MAILING ADDRESS: <br /> BuAnett John Mitey Box 319 Siren, WI 54872 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMER IAL DES RIPTION: R ONS: A TESTS: <br /> ®Residence Residence -------------- ❑New Replace I OetobeA 9 1993 11'4 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> EIS 11 ❑S ®U ❑S ©U ❑S ®U ®SFU Ho2dino Tank <br /> If Percolation Tests are NOT required DESIGN RATE: It any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate I I I Floodplain indicate Floodplain elevation: N'`'` <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUN DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN. ELEVATION OBSERVED S HE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> -711 Dk Bn ts; 7"-38" Bn bs WIR mot cmd <br /> e- 1 38" 96.4 3611 711 <br /> -1111 Dk Bn ts; 11"-2611 Bn 6,5 w R mot cm <br /> B- 2 26" 95.7 20„ 1111 <br /> _71 Dk Bn Q..s; 7"- n s w mo cm - <br /> B. 3 41" 97'5 None 711 3y c w/ R mot cmd <br /> B- 4 36" 96.8 None 611 <br /> -611 Dk Bn ; 6"-36" Bn 6,s w1K mot cm <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTER SWELLING INTERVAL-MIN. P RI D1 PERIOD2 P R PER INCH <br /> P <br /> P- Lot _M6 •ce<en cvicea <n depth to <br /> P- <br /> P <g gnoun en art any <n os o< <br /> P- <br /> P- a sm. <br /> oup con ups e <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 percen, <br /> of land slope. <br /> SYSTEM ELEVATION NA Scate 1"=401 except where noted. <br /> B3 <br /> a B1 x <br /> BM Daive <br /> HoLlse O Existing System tN <br /> 1, <br /> wet? w <br /> 0 <br /> _ Exiisting .System_ 4 B4 <br /> 4, B2 <br /> BM=100.0 BenchmaAk, HRP E VRP, Bottom ob siding. <br /> d' Bo)ting <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 Wisc nsin <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 /> Wade Rubshotm Oetoben 9, 1993 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 24702 Lind Road P.O. Box 514 SiAen, WI 54872 3583 17151349-7286 <br /> CST SIGNATURE. <br /> DISTRIBUTION: Original and one copy to Local Authority'Props rty Owner and Soil Tester. S93 -/21 2 3 Z' <br />