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DEPARTMENT OFREPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 <br /> P.O. BOX 796 <br /> HUMAN RELATIONS <br /> (I LHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAM E: <br /> NUJ 1NE 's 35 /T 41 N/R 16E (or Tawn ab Swipe 2 CSM V K. 9 P 113 <br /> COUNTY: MAILING ADDRESS: <br /> Bwtnett Kenneth 6 Donie GAant 3457 Buchanan St. NE Minneapotie, MN 55418 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: A S: <br /> Residence 3 ------------------ ❑New Replace June 30, 1992 N/A <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:(optional) <br /> ❑S DII ❑S ❑XU ❑S ©II ❑S X❑II ©S ❑U Hotding Tank <br /> If Percolation Tests are NOT required DESIGN RATE: <br /> 9 If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: N/A <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUN DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN. ELEVATION OBSERVED E97RETHE TO BEDROCK IF OBSERVED ISEE ABBRpV� .ON BACK.) <br /> n 0-611 Dk Bn Pl. - 611-1411 Bn tz; 1411-3711 Bn med. e; <br /> B- 1 52n 99.7 51 37rr 3711-5211 Bn meL s w/R mot bbb <br /> B- <br /> B- <br /> B- <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. PERIODI PERI D2 PERINCH <br /> P- <br /> P- N/A Lot has iluuAAicient aA a in depth to high Ao <br /> P- <br /> P_ on—any kind o eai2 ab ox tion sti.5te . <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 N/A Seate 111=401 except wheAe noted. <br /> -- — <br /> B 100.0 BenchkaAk, hRP 8 (/RPI, <br /> Bottom ab eiding. — <br /> BoAin <br /> I I <br /> 1 4 - <br /> I <br /> ( I I <br /> Mingava - <br /> _ <br /> _- _ <br /> (Loon CA�ek- Lcthe PM <br /> r- <br /> E 2ocyag�l -� <br /> I <br /> {Bunk- Cabin <br /> house) <br /> B <br /> ett <br /> Gw age t <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 spa cifie I the Wi onst <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: <br /> Wade Ru4eha.bm June 30, 1992 <br /> ADDRESS: 11 CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 24702 Lind Road P.U. Bax 514 SiAen, WI 54872 t 3583 (715)349-7286 <br /> CSTSIGI�ATURE: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester, <br /> C G <br /> DILHR-SBD-6395(R. 10/83) —OVER — <br />