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DEPARTMENT OFREPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, _ DIVISION <br /> LABOR ANDPERCOLATION TESTS (115) MADISON WI 53707 <br /> 69 <br /> HUMAN RELATIONS <br /> (I LHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: IV TOWNSHIPft"tDrPAtITT:--- LON <br /> T O.:BLK.NO.: SUBDIVISION NAME: <br /> SW 1/4 NE 111111111/ 9 /T39N/R4 f/,/)WI RUSK NA NA 1 24+3109-0290 <br /> COUNTY: OWNER'6/BL+YE4Rb NAME: MAILING ADDRESS: <br /> BURNETT KATHY ROMEISER 3311 33rd AVE. S. ,MINNEAPOLI , MN 55406 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS: COMMERCIAL DESCRIPTION: PROFI DESCRIPTI NS: OLATION TESTS: <br /> Residence 2 NA New ❑Replace 5 20/88 5/20/88 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM (optional) <br /> ®S ❑U ®S ❑U ®$ ❑U ❑S X❑U ❑S ©U 1 410 SQ FT BE <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: NA I I Floodplain, indicate Floodplain elevation: INA <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,CO OR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH N, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON E ACK.) <br /> B 1 72 97. 7 NONE >72 5" 5YR3/2 sl ts, 5-48"5YR /6 fs, 48-72" <br /> 5YR4/6 med s. <br /> 2 72 97. 9 NONE >72 5"5YR3/2 sl ts, 5-60"5YR4 6 fs, 60-72" <br /> B- 5YR4/6 med s. <br /> 3 72 97. 9 NONE >72 5"5YR3/2 sl ts, 5-50"5YR4 6 fS, 50-7 <br /> B- 5YR4/6 med s. <br /> 72 NONE >72 SAMEA <br /> B- <br /> N NE > AME A <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 PERIOD2 PERIOD PER INCH <br /> P_ 6 18 NONE 1 < 3 <br /> p- 7 22 NONE 1 < 3 <br /> P- 8 24 NONE 1 < <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 dist nces. 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. 2 ' <br /> ' L- NOTE: NO SCE <br /> BM -ELEV. 100. 0 '. <br /> moo, /�/ /TzoYeTllll llll " (NAIL IN 18" 0 K TREE) <br /> -t BwtT NO WELL <br /> 3V s1Te <br /> 61 <br /> 3 "M" <br /> g, TN <br /> St,.K&BL.I� <br /> sol.. A"& <br /> 96 acres <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and mthods 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 Iprint): TESTS WERE COMPLETED ON: <br /> MET. .1 PP.RrIIc;0N 1988 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER Ioptionall: <br /> CST SIGNATUR : <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />