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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) BOX 7969 <br /> 3707 <br /> HUMAN RELATIONS P.D.MADISON,WI 53707 <br /> (ILHR 83.09(1) &Chapter 145) <br /> LOCATION: ISECTION: TOWNSHIP/M MIl!"L9TY: LOT NO.:BLK.NO.: SUB (VISION NAME: <br /> SW 1� SV71V4 24 /T40N/R14I?/ W SCOTT NA NA NA <br /> COUNTY: OWNER'S MrM?TT NAME: MAILING ADDRESS: <br /> BURNETT FRED LaTULIP STAR RT BOX 317, SPOONER, WI 54801 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS. 1COMMERCIAL DESCRIPTION: PROFILE DESCRIPT ONS: R OLATION TESTS: <br /> ®Residence 3 NA [—]New Replace AUG 13,8'7 AUG 13,87 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN_ -GROUND-PRESSURE: SVSTEM-IN-FILLHOLDING TANK:RECOMMENDED SVSTE :(optional) <br /> ❑S ®U MS <br /> ❑� ❑S ❑XU ❑S OU ❑S IN ABLE MOUND <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.091511bI,indicate: NA I I Floodplain, indicate Floodplain elevation: NA <br /> PROFILE DESCRIPTIONS <br /> BORING TOTALD PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, CC LOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST.HlGHnT TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) <br /> B 1 24 97.2 NONE 14 0-4" 5YR4/4 med s tsi " 5YR4/4 med s , <br /> W/eMd 5185/8 mot 14-24" 5YR4/3 med s. <br /> B- 2 24 7.4 NONE 14 SAME AS rr 1 <br /> 0-3" 5YR 4 med s ts,3-1 YR med s, <br /> B- 3 24 96.9 NONE 14 W/cmd 5YR5/8 mot, 14-24" 5YR4/3 med s. <br /> 13- <br /> B- <br /> 13- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD2 PER PER INCH <br /> P- 4 12 1 NONE 1 21 1 1 1 <br /> P- 12 NONE 1 2 1 1 1 <br /> P- 12 NONE 1 2- <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 dis antes. 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 bo ings and the direction and percent <br /> of land slope. <br /> SYSTEM ELEVATION 99.23' <br /> N TE : NO SCALE <br /> L BW ELEX 100.0` <br /> �l Z' (NAIL IN P POLE) <br /> s«7 <br /> ? sr:fes+ <br /> tN <br /> r <br /> ? Ffs e <br /> T <br /> S <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and tethods 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 COMPLET D ON: <br /> ARLYN J. HELM AUGUST 1 ,1987 <br /> ?ESS: CERTIFICATION NUMBER: PHONE NUMBE R(optional): <br /> P.O.BOX 71, SPOONER, WI 54801 3331 715-635 7595 <br /> CST SIGN UR <br /> Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> R. 10/83) —OVER — <br />