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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY; DIVISION <br /> LABOR AND P.O. BOX 7989 <br /> HUMAN RELATIONS (I TESTS (115) MADISON,WI 53707 <br /> (1 LHR 83.090)&Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP LOT NO.:BLK.NO.: SUBDI VISION NAME: <br /> $W �� $W �� 26 /T39 N/RL6 Mer)W MEENONAILINGADDRESS: <br /> 1B— — CLAM LAKE PZNES BU <br /> COUNTY: <br /> BURNETT ROBERT WILKERSON 3139 MC KINLEY ST. HE MINNEAPOLIS, MN 5541 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMER IAL DESCRIPTION: <br /> EiResidence 3 N/A ❑New IlReplace ITIT <br /> N/A <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL GILDING TANK:RECOMMENDED SYSTEM:(optional) <br /> ❑S ®U I ❑S ®U ❑S ®U ❑S ®U ®S ❑U HOLDING TANK — 2000 GAL. <br /> DESIGN RATE: <br /> If Percolation Tests are NOT required 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: N/A <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL I DEPTHTOGROUNDWATER-INCHES ICHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN. ELEVATION OBSERVED EST-HIGHEST EST—HIGHESTTO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 1 15 1 99.08' NONE 7 0-6" B1 Bl, 6-7" Bn all, 7-15" Bn sl w/ccd R mot <br /> B- 2 15 98.75' NONE 8 0-6" B1 81, 6-8" Bn sl, 8-15" Bn all w/ccd R mot <br /> B_ 3 14 99.17 • NONE 7 0-6" Bl all, 6-7" Bn all, 7-14" Bn sl w/ccd R mot <br /> B- <br /> B- <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 _PER1002 PERIOD 3 PERINCH <br /> pN/A N/A <br /> P- <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. <br /> SYSTEM_ ELEVATION N/A <br /> DA ISO A' E. 1 ( OIRE i a 603! �. <br /> r B3 _. ._ .. ,LD�SY TEM <br /> r - 1 <br /> DRIVE <br /> I , <br /> 9CRLE. 11 • 910 �— _._a t <br /> __ — - <br /> i <br /> Bz <br /> H}.- <br /> MS ORTi. SIVRP IEL.- 100.07 <br /> BOTTOM OF E1IDING <br /> 13 SOIL-BORINGS <br /> r <br /> , <br /> NORtH -- <br /> J_J <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 s cifi r�Wii;i <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 /> REN STRABEL 08-31-1993 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 7735 AIRPORT ROAD WEBSTER WI 54893 3322 7 5-349-2990 <br /> CST SIGNATURE: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBDE395(R. 10/83) OVER — <br />