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p lg 9��s-r�-uoo <br /> DEPARTMENT OF REPORT ON SOI BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, SOIL I� /'1 DIVISION <br /> HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> (I LHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: TOWNS H I PIANIMOVOW 1 LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> W%SW1Y4 SE 1/4 34 /T 391 enon I 1+-a- --a I oUDgdd, MOU(Id <br /> COUNTY: MAILING ADDRESS: <br /> Burnett James Skog 6783 Lakeview Rd Siren Wi 54872 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: IIPROFILE DESCRIPTIONS: PERCOLATION TESTS: <br /> ®Residence 2 na ❑New ®Replace L 8/6/93 na <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: S STEM-IN-FILL OLDI NG TANK:RECOMMENDED SYSTEM:(optional) <br /> El ❑U Dx S ❑U DS ❑U ❑S E]U ❑S E]U Conventional w/lift <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 Floodplain, indicate Floodplain elevation: na <br /> PROFILE DESCRIPTIONS <br /> BORINGTOTAL P H TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPfH IN. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 74 96.75 none > 74 0-6 dk tin 10YR3/2 s , 6-67 bn 10YR4/6 med s, 67-7 <br /> B- verify It area from <br /> original soil test. We propose to make the <br /> B' drainfield shallower and install a lift <br /> B- <br /> system to assure purification of effluent <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 AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD 2 PERiCD3 PERPERINCH <br /> P- <br /> P- <br /> P- see original soil test <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 94.00 <br /> i 7 <br /> QWell Q@M tope Qf .retaining <br /> 2 bdrm _ Wall , ass'd Eile 10q.00 <br /> home <br /> a <br /> 4 <br /> �Q <br /> . z <br /> 1lr = 40' TN <br /> unless otherwise <br /> 5 Acre site Q 750 gal concrete _ noted <br /> '( septic tank n <br /> 1 <br /> Mailing drainfield ) _ <br /> f <br /> I I <br /> 1,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and metho s specified in the isconsin <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: w <br /> Joan E Daniels 8/6/93 <br /> ADDRESS: CER IFICATI N NUMBER: PHONE NUMBER o tional): <br /> PO Box 316 Siren WI 54872 CTS3 <br /> TMO 431 715-349-55 <br /> -.. ----ice CS IGNATUR�; <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Taster. CG/ <br /> DILHR-SBD-8395 (R, 10/83) —OVER — <br />