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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, - DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 <br /> HUMAN RELATIONS <br /> (ILHR 83.090) & Chapter 145) <br /> LO ATION: SECTION: TOWNS H I PrMt.MTL`rPALRP'-- LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> SEI/4 SW �1 6 /T40N/R14f/ )W SCOTT NA NA 28-4116-03300 <br /> COUNTY: OWNER' B4+Yffi'9 NAME: MAILING ADDRESS: <br /> BURNETT DAVE MIS$ LITTFIN 29237 LONG LAKE, DANBURY, WI 54830 <br /> USE DATES OBSERVATIONS MADE <br /> r NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: <br /> ©Residence 3 NA I ilNew ❑Replace I 4/20/88 1 4/20/88 <br /> RATING: S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN_ -GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> RIS ❑U ®S ❑U ®S ❑U [ISX❑U EIS ❑XU 1 615 SQ FT BED <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)(6),indicate: NA I I Floodplain, indicate Floodplain elevation: NA <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN. ELEVATION OBSERVED EST.HIGHEST—TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> 1 72 94. 9 NONE > 72 2" 5YR3/2 sl ts, 2-48"5YR4/4 fs, <br /> B- 48-72"5YR4/6med s. <br /> 2 72 92. 8 NONE > 72 2" 5YR3/2 sl ts, 4-36"5YR4 4 fs, <br /> B- 36-48115YR3/4 fs ,48-72115YR4/6med s. <br /> 3 72 94. 0 NONE > 72 5YR si tS, 3-4U"5yR4/4s, <br /> B- 40-72"5YR4/6 med s. <br /> si ts,4-40 , <br /> B- 40-72" 5YR4/6 cs <br /> S1 s, - s <br /> B- 60-72"5YR4/6 cs. <br /> B- <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 PERIOD PER PER INCH <br /> p- 6 29 NONE 1 < 3 <br /> p- 7 18 NONE 1 <br /> p- NONE <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. <br /> SYSTEM ELEVATION 92. 5 ' <br /> Ir I I NOTE: ' NO SCALE <br /> 126 DECAY 0 BM ELEV.. 100 .0 ' <br /> (NAIL IN 12" PINE' TREE) <br /> NO WELL <br /> y 5 <br /> o <br /> SufTA6tE T. <br /> skt� nRra T N <br /> 3 <br /> P�epposEn _. <br /> Bldg 61 re <br /> COwnTY +AWY A, <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): TESTS WERE COMPLETED ON: <br /> MELVIN T_ FERGUSON APRIL 20 1988 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 715-635 7595 <br /> ST IGNAn URE: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DI LHR-SBD8395 (R. 10/83) —OVER — / <br />