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DEPARTMENT OFREPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, � DIVISION <br /> LABOR HUMAN RELATIONS AND PERCOLATION TESTS (115) MADISP.O. BOX 7969 <br /> ON WI 53707 <br /> HUMAN <br /> (ILHR 83.09(1)&Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/ LOTNO.:B1 NO.: SUBDIVISIONNAME <br /> �V4 �V : <br /> 13 /T 40 N/R17 E Ior Union TownshipParce ant Lot 3 <br /> COUNTY: MAI LINGA DRESS: <br /> Burnett Ben C. Blair 128547 Palmherg Rd. Danbury, WT 54830 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: yy�� R TIONS: ER ATION TESTS: <br /> ®Residence 2 ----------_-- ❑New y„�Replace <br /> Sept. 4, 1991 Sept. 4, 1991 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ON VENTIONAL: MOUND: IN-GROUND-PFlESSURE: SYSTEM-IN-FO <br /> ILL LDN <br /> IG NK:TARECOMMENDED SYS TE I: optional) <br /> NS ❑U E]S ❑U ©S ❑U I ❑$ KU E ❑XU I Conventional <br /> LLIt Percolation Tests are NOT required DESIGN RATE: If any portion the tested area is in the <br /> , <br /> s. ILHR 83.09(5)(b),indicate: Floodplain, indicis ate Floodplain elevation: N/A <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED it ),HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> 0-5" Dk Bn is ' <br /> 5"-19" Bn fs 19"-72" Bn med. s <br /> B-1 72" 98.6 None >72•,' <br /> B- 2 72" 98.9 None >72" 0-6" Dk Bn ls; 6"-22" Bn fs; 22"-72" Bn med. s <br /> 13- 3 72" 98.4 None 701- 0-5" Dk Bn ls; 5"-18" Bn fs; 18"-70" Bn med. s; <br /> 70"-72" Bn mad s wZE mt fff <br /> 13- <br /> B-4 65" 96.6 None 41" <br /> 0-5" Dk Bn ls' 5"-21" Bn fs; 21"-41" Bn med. s; <br /> „ <br /> 13- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES M <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. pE RIODI PERIOD2 P R <br /> P- e 25 16 21 4 2 1 8 P_ 2 n None 2 7/16 2 5/16 2 3/16 P- 3 „ None 2 3 8 2 1 4 2 1 8 <br /> P- <br /> P. <br /> P_ <br /> PLOTPLAN: 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 96.4 Scale 1"=40' except where noted. <br /> _ - -_— -L -�- - - <br /> it <br /> Well ,n <br /> B2 _ 4_- <br /> Bz A-Pl: P3 �4B3 <br /> CD TNM1 . <br /> Bass r1 � rage _ <br /> Lake 0x <br /> Existing System <br /> i <br /> Elevation 95.2 <br /> 8B4 ri <br /> *BM=100.0 Benchmark, Ell of siding <br /> D,Boring °Perc <br /> - 9 <br /> the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the pro <br /> Administrative and met in �fiad In a WYsa nein <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 RufsholmSeptember 4, 1991 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 24702 Lind Rd. P.O. Box 514 Siren, WT 54872 <br /> 3583 (715)349-7286 <br /> CST SIGNATOR E: ^ <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />