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DEPARTMENT OFREPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR ANDP.O. BOX 76 <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> (ILHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP OT NO.:BLK.NO.: SUBDIVISION NAME: <br /> SE !/4SE 11111111V4 28 /T39 N/1115 (wtW SAND LAKE LOT <br /> COUNTY: MAILING ADDRESS: 612-553-0230 <br /> BURNETT TOM MOTTAZ 112900 56TH AVE. N. PLYMOUTH, MN 55442 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMB,: COMM R IAL DESCRIPTION: A I ESTS: <br /> Residence 3 N/A YNew ❑Replace (05-02-1991 05-02-1991 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:10 tional) <br /> XIS ❑U XIS oU INS oU ©S �U �$ ®U CONVENTIONAL B D - 18 ' X 35 ' <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: N�A Floodplain, indicate Floodplain elevation: NSA <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL P H T GR UN DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED I EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 102 94.83NONE >102 1-7" S1 sl, 7-11" Bn sl, 11-31" in c, 31-111" Bs s <br /> B- 2 100 94. 92 ' NONE >100 1-6" BI sl, 6-15" Bn sl, 15-16" on c, 16-111" Ba s <br /> B- 3 100 94. 92 ' NONE >100 1-7" 81 sl, 7-11" Bn sl, 11-31" Ba c, 31-111" Ba s <br /> B- 4 102 95. 08 ' NONE >102 1-6" 81 sl, 6-15" Ba sl, 15-35" In c, 35-111" Ba s <br /> B- 5 100 95. 0 ' NONE >100 1-6" BI sl, 6-15" on sl, 16-36" Bn c, 36-100" On s <br /> B- <br /> PERCOLATION TESTS <br /> YTEST DEPTH WATER IN HOLE TEST TIME D I WATER LEVEL-INCHES <br /> RATE MINUTES <br /> 1 NUMBER INCHES- AFTERSWELLING INTERVAL-MIN. p q D1 ERI D2 p P FINCH <br /> MINUTES <br /> P_ 1 46 NONE <br /> p- 2 4T N <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. 91 . 01 <br /> 1 e !fes//r B <br /> SYSTEM ELEVATION 7 <br /> ;<— , TO SAND LAKE- ROAD <PRIVATE ROAD). <br /> 94 i , B5 <br /> e er 40' N <br /> EME3 PaaPosEB <br /> -- - <br /> Ho SCP1 E 1" _. <br /> Bik !HOP <br /> 7- 8; TRP (EL= 1011.07_ <br /> M1AE, D1 OAK TREE 7 - <br /> B - SOD_ BORDGS <br /> P - PlEkC #STS - - <br /> - -BTG AHD LAKE <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 TESTS WERE COMPLETED ON: Pv_YV-1991 <br /> ADDRESS 7735 AIRPORT ROAD WEBSTER, WI 54893 CERTMION NUMBER PH7ry NU1y�11q`29901): <br /> CST SIGNATURE: +j1 �J sir]' ((JJ 7] <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. L�— <br /> DILHR-SBD-6395 (R. 10/83) – OVER – <br />