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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR XNP.O. BOX 7969 <br /> HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> (I LHR 83.0911)&Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOTNO.:BLK.NO.: SUBDIVISIONNAME: <br /> 1/4 1/4 6 /T 39 N/R16 E (or) Meenon Tow"htp pcP. G.L. 1 , V. 489, Pg. 200 <br /> COUNTY: MAILING ADDRESS: <br /> BuAnett TeAay Betisfe 2172 Goohe Lake Road New Richmond, WI 54017 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS,: COMMERCIAL DESCRIPTION: ®New PROFILEI A NT STS: <br /> ®Residence 3 -------- ❑Replace I May 3, 1993 N/A <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> [Is ®II ❑S ©U ❑S au ❑S ©U ❑X S ❑U I Hotding Tank <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: IFloodplain, indicate Floodplain elevation: N/A <br /> PROFILE DESCRIPTIONS <br /> BORING TOTALPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> 0-311 Dk Bn Pis• 311-2211 Bn med. 6 w R mot cm <br /> B- 1 3411 95.8 2311 311 2211-341' t , <br /> B- 2 46" 97.4 43" 1911 0-511 Dk Bn tis; 5"-1911 Bn med. s; 19 -4611 Bn me .h <br /> w/R mot cmd <br /> 3 44" 97. 1 4111 1611 0-511 Dk Bn Pte; 5"-1611 Bn med. s; 16"-4411 Bn med.z <br /> & wIRmot <br /> cmdB- <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 PERIOD P PERINCH <br /> P- <br /> p- Lot has inSuAicient area in depth to <br /> PNZA <br /> - <br /> P- hTggtourz!MeA <br /> P- <br /> P- abhor. tion e .stem. <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 /> I <br /> — BM <br /> BMp100.0 Benchma,ki DB2 j yettow <br /> HRP 9, VRP, Top - t <br /> - - ake <br /> 0b 2ot stak� . <br /> 4 Bot ng <br /> � Bn N <br /> � B3 <br /> F I l l I <br /> _ - — <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 /> AME(print): TESTS WERE COMPLETED ON: <br /> Wade Rub.ahotm ': ' - May 3, 1993 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 24702 Lind Road P.U. Boz 514 S-iAen, WI 54872 3583 17151349-7286 <br /> CST//SIGNATURE: <br /> DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. <br /> DILHR-SBD-8395(R. 10/83) —OVER — <br />