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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION <br /> INDUSTRY, <br /> LABOR AND PERCOLATION TESTS (115) MADISON,WI 53707 <br /> HUMAN RELATIONS <br /> (ILHR 83.0911)& Chapter 145) ,'a .-^"ai <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: OT .:SUI yl <br /> 14 14/T39 N/R 16E (.,)4 Meenon 10 5 Mound Beach <br /> COUNTY: MAILING ADDRESS: <br /> Buhnett Niehotah S Becky Kuhn 25122 Lakeview Road Sinen, W7 54872 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMER IAL DESCRIPTION: A S: <br /> ®Residence New ®Replace 3 ❑ I Ju. y 10, 1992 N/A <br /> RATING: S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUNDRiESSURE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> [JS ®U EIS ®U ❑S DU ❑S ©U ©S ❑U Hotding Tank <br /> DESI <br /> It Percolation Tests are NOT required GN RATE: If any portion of the tested area is in the N/A <br /> under s. ILHR 83.09(511b1,indicate: Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATIGN OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> 0-611 Dk Bn PA; 6"-3111 Bn bA; 3111-4811 Bn bA wlR <br /> B- 1 48" 100.5 None 3111 mot <br /> B- <br /> B- <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TFSr DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERI D1 PERIODPERIOD PERINCH <br /> P- <br /> PNIA <br /> - <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 hon- <br /> ,omal 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 Scale - 111=401 except where noted. <br /> I <br /> e weft - -- Low <br /> Cf*m <br /> QBL Houee Labe <br /> -- <br /> 2°s , BM . �N <br /> BM=100.0 Benchmwck, HRP E VRP, Bottom ob Aiding. <br /> Q Boning <br /> L ... -{ <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 /> 'iNAME (print): TESTS WERE COMPLETED ON: <br /> I Glade Ru44hotm Juty 10, 1992 <br /> IADDR ESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 24102 LInd Road P.O. Box 514 SiAen, WI 54872 3583 (715) 349-7286 <br /> CST SIGNAT` <br /> DISTRIBUTION:Original and one copy to Local Authority, Property Owner and Soil Tester. <br /> DILH"BD.6395(R.10/83) —OVER — <br />