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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 /> HUMAN RELATIONS <br /> (ILHR 83.0911) & Chapter 145) <br /> LOCATION: ISECTION: TOWNSHI PAW1 &f'AL49Y- LOT NO.:BLK.NO.: SUED VISION NAME: <br /> SE �� N� �� 3 h9 H111141# RUSx NA NA NA <br /> COUNTY: OWNER'S BLIY"S NAME: MAILING ADDRESS: <br /> r DAL�s A. NELSON STAR RT, SPOON3R, ">iI 54801 <br /> USE DATES OBSE RVAT I ON S MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: yy55 PROFILE DESCRIPTIONS: PERCOLATION TESTS-71: <br /> Residence 2 NA ❑New MReplace JULY 20 87 NA <br /> RATING: S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) <br /> os ❑u ❑s ❑u ❑s ❑u ❑s au ❑s ❑u <br /> If Percolation Tests are NOT required DESIGN RATE: <br /> Q If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: NA Floodplain, indicate Floodplain elevation: NA <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH 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 ACK.) <br /> B- 1 144 98. 5 NONE 144 0-4" 5YR3/1 sl ts , 4-72" YR5/8 gr s , <br /> B- 72-144" 5YR5/6 Med s . <br /> B- <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 PERIOD2 __PT_RF= PER INCH <br /> P- <br /> P — <br /> P- NONE TA - SOIL RIFICATIO ONLY <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 <br /> NOTE : NO SCALE <br /> T') .j Rd <br /> D BM r; 'V 100. 0' <br /> (TOP CONCRETE 1VALL) <br /> s° s<rl <br /> I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and or thuds 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 COMPLETE ON: <br /> ARLYN J. HELM JULY 20, 987 <br /> ADDRESS: CERTIFICATION NUMBEPHONE NUMBER(optional): <br /> P.O.BOX 71, SPOONER 7I 54801 3331 715-635 7595 <br /> CST SIGN <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />