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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> 0LHR 83.0911)&Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY <br /> I <br /> OTNO.:BLK.NO.: SUBDIVISION NAME: <br /> 1/ 11 IT37 N/R 18EW(or) Tnade Lake Townshi ek. L. 1 Vol. 256, P . 399 <br /> COUNTY: MAILING ADDRESS: <br /> Buhnett MaAy E. Watt 309 Jenko St. Pauf, MN 55101 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRM&: COMMER ALDE_SC R IPTI ON: Ig <br /> P FI NS: PERCOLATION TESTS: <br /> �Flesidence 2 _____________ ❑New t,y Replace I May 30, 1993 N/A <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FI LLHO LDING TANK:RECOMMENDED SYSTEM:(optional) <br /> ❑S ©U ❑S ©U D MU ❑S OU OS ❑U Holding Tank <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the NSA <br /> under s. ILHR 83.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTALP H T GROU DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED ES—rTITG—R—=sT TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- <br /> B- LUT HAS INSUFFICIENT AREA. <br /> B- <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 I PERIOD2 PERIODPER INCH <br /> P- <br /> P. <br /> P HAS INSUFFICIEN AREA. <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 percent <br /> of land slope. <br /> SYSTEM ELEVATION N/A Scate 111=401 except wheAe noted. <br /> - _ - <br /> y We2e - $P iAit <br /> WET -LAND -- A— -- Lake <br /> --(ovate _6tanding-) - - , _ <br /> . . <br /> N <br /> n <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 th 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 /> Wade Ruohotm May 30, 1993 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 24702 Lind Road P.O. Box 514 SiAen, WI 54872 3583 (715) 349-7286 <br /> CST SIGNATURE: <br /> DISTRIBUTION: Original and ovie eWtrm Loc21 Aotbvrity,Property Owner and Soil Tester. y� - <br /> DILHR-SBD-6395 (R. 10/83) --«—_. .. —OVER — <br />