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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON769 <br /> WI 53707 <br /> HUMAN RELATIONS <br /> (I LHR 83.0911) & Chapter 745) <br /> LOCATION: SECTION: TOWNSHIP/MHN+S+PA*K-*, OT NO.:BLK-NO.: SUBDIVISION NAME: <br /> 'I w'/ /T N/R E ( W <br /> COUNTY: MAI LINU ADDRESS: 689-2278 <br /> Rf[PNFTT ANN AWENRQN IRT- 1 BOX 59n rRANTARURr WT . 54840 <br /> USE DATES OBSERVATIONS MADE <br /> rryye� NO.BEDRMS.: COMMER IAL DESCRIPTION: O <br /> L'JResidence ' New ❑Replace <br /> ]1-1 d-19RR N/A <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUN6PRE&4tIRE: S STEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> EISX❑U ❑S ❑X U ❑S ©U ❑S KU ©S ❑U HOLDING TANK - 2000 GAL . <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)(b),indicate: N/A Floodplain, indicate Floodplain elevation: NIA <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL P H T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPfH IN. ELEVATION OBSERVED HIGHEST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) <br /> B-1 36 98. 5 ' NONE 12 12"B1 1-24"Bn c w/ccd R mot <br /> 2 36 101 . 8 ' NONE 12 61IB1 1- 6"Bn c1-24 "Bn c w/ccd R mot <br /> B- <br /> 3 38 97. 2 ' NONE 12 12"B1 1-26"Bn c w/ccd R mot <br /> B- <br /> 4 36 99. 6 ' NONE 12 12"B1 1-24"Bn c w/ccd R mot <br /> B- <br /> 6 5 38 94 . 2 ' NONE 10 10"B1 1-28"Bn c w/ccd R mot <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 1 P RI D2 PER INCH <br /> P-N/A 0 N/A N/A N/A N/A N/A 0 <br /> P- 0 0 <br /> P- 0 0 <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 /> SCRLE 1"_ 40" _.... ... <br /> BM. _. .BOTTOM 4F -SIDING-SE CORNER OF. HOUSE (EL. ,100'). <br /> -B .- SOIL,.BORINGS . . <br /> H3 o B4 B5 <br /> a <br /> ti <br /> o ' TN» t _ t=s <br /> DRIVE 6RRRGE <br /> � <--- FIRES 22896 , . . . . ._. <br /> -- -- <br /> o <br /> y• Be <br /> HOUSE <br /> . . ISO.' ---I .PROPOSED <br /> MOBILE HOME I <br /> a<- WELL <br /> i <br /> 2640' <br /> I <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): ITESTS WERE COMPLETED ON: <br /> KEN STRABEL 12-03-1988 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> RT. 2 BOX 160 WEBSTER, WI . 54893 3322 1715-3h?-2990 <br /> CST SIGNATUj1 <br /> jV <br /> �RIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. r <br /> _`6395(R. 10/83) —OVER — <br />