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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 53769 <br /> 07 <br /> HUMAN RELATIONS <br /> (ILHR 83.09(1) & Chapter 145) <br /> LOCATION. SECTION: TOWNSHIP OT NO.:BLK.NO.: SUBDIVISION NAME: <br /> NE 1/4 NE 1/4 32 /T388 N/�7 QiIMI DANIELS 40 A RE P RCECOUNTY: L <br /> 689-2643 <br /> BURNEPT RA PUSER 9865AILINGELBOW SLAKE RD. SIREN, WI 54872 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS: CO ER IAL DESCRIPTION: 0 - 1-191 COLATION TESTS: <br /> Residence ❑New Replac619N <br /> A <br /> RATING: S=Site suitable for system U=Site unsuitable for system Q(y f��(.��Q <br /> OSTI❑U . M®S. ❑U ING®S ❑U E: SV®S I❑UL OO SG11URrXI$TIdCi S�SSEAG,�nationall <br /> DESIGN RATE: SZ3T�1 <br /> If Percolation Tests are NOT required NIA <br /> 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 TOTAL DEPTH 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 ASBRV.ON BACK.) <br /> B- 1 120 100.5NONE >120 0-6" B1 sl , 6-120" Bn s <br /> B- <br /> B- <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> 't EST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> E NUMBER INCHES AFTERSWELLING INTERVAL-MIN. p RI DL P RI D2 P R PER INCH <br /> PNIA <br /> - <br /> P- <br /> P- <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 <br /> ELBOW LAKE : ROAD <br /> <-^ rIFE .a 980 <br /> _ <br /> MOTE: RLL LOT UWS >IW IN ALL DWCTIMIS <br /> ris <br /> MELL <br /> HOUSE Ht; HOR2. 6 VW (EL- WAr)l <br /> <-- E16STd6 710 M_ STEEL SEPTIC rant N <br /> s� <br /> E)USTM MMU Or EEEP i> <br /> �.. . . jr _ <br /> I i <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): REN STRABEL T�TESTS WERE COMPLETED ON: 06-17-1991 <br /> ADDRESS: 7735 AIRPORT ROAD WEBSTER, WI 54893 CER327ION NUMBER: PHJrj5�!1�r� �L1� tall: <br /> CST SIGNATURE: Js! <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBO8395 R. 10/83) —OVER — <br />