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DEPARTMENTOF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, - DIVISION <br /> LABOR AND P.O. BOX 7969 <br /> PERCOLATION TESTS (115) MADISON,WI 53707 <br /> HUMAN RELATIONS <br /> (ILHR 83.090) & Chapter 145) <br /> I;OCATION: SECTION: TOWNSHIP/KMCXWleA➢SMX LOT NO.:BLK.NO.: SUBQIVISION NAME: <br /> �/ SE 1/ 24 /T38N/R18t�W 'A'ood River na na na <br /> COUNTY: OWNERS BUYER'S NAME: MAILING ADDRESS: <br /> -Burnett Michael Dasol 52v jtewart Ave. S. St, 'aul, MN 55075 <br /> USE DATES OBSERVATIO. S MADE <br /> NO.BED MS.: COMMERCIAL DESCRIPTION: (PROFILE DESCRIPTIONS:1PERCOLATION TESTS: <br /> r,,'ew <br /> Residence na `�° ❑Replace 6/'10/86 1 na <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUNpD: IN_ -GROUNppD-PRESSURE: SYSTEppM-IN-FI7 HO�LyD IpNG TANK:RECOMMENDED SVSTE :(optional) <br /> ❑S ®U ❑J ZU ❑J ©U ❑J ❑X U DS ❑U HCl tatty, I <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: .,. Floodplain, indicate Floodplain elevation: .,a <br /> .. PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTHTOGROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ONIBACK.) <br /> B- 1 31" 102.10 none 15" cmd, 4" gysc�w/mot R mmsp d.mo <br /> t 71 2 24" 102.00 none 11 " 10" Dk bn sl, 14" Bn-gy c w mot : 11 <br /> B- R mm p d. <br /> 3 28" 103.00 none 1111 10" Dk bn sl, 15" Bn sl w/mot 11" R <br /> B- cmd " 9 c w mot R mm pd. <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES I RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD ( PERIOD2 PERIOD PER INCH <br /> P <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 na <br /> z4 <br /> qoa' n i6l holes <br /> ®- SM 14" dm <br /> -Fop OF nal r tape' <br /> Lo�0 1 <br /> Indian. o I- I gt 63 <br /> �IyuL c� T N <br /> 7. <br /> IN. I <br /> drl <br /> Ili Wo111 must be Writs zS` <br /> Nom NoldYnG ' uJL. <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)' TE$/T // b W5 )§COMPLETED ON: <br /> Joan lbsn E. Daniels // <br /> ADDRESS:OX W siren, �'�1 54872 CERTI�14q�ON NUMBER: y}JpP1E RIN�ABBRbM'nal): <br /> (ISS CS ,SI`G44NA77T/URE: ������1�77Q CJ7 G77J <br /> G <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. -� <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />