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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, DIVISION <br /> P.O. BOX 7969 <br /> LABOR,AND <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON,WI 53707 <br /> GL (ILHR 83.09(11 & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP LOT NO.:BLK.NO.: SURD(VISION NAME: <br /> 1� 1� 26 /T39 N/R16 Ems)W Meenon na na na <br /> COUNTY: OWNER'S/Sl NAME: MAILING ADDRESS: <br /> Burnett I Thomas E. Trost Rt. 2 Webster, WI 54893 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION �t $L]Replace <br /> DESCRIPTIONS: PER OLATION TESTS: <br /> ®Residence 4 na i_JNew $Replace 9/30/88 9/30/88 <br /> �� <br /> RATING: S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYST EM:loptionap <br /> S ❑U 0 S ❑U S ❑U EIS [�U EIS EU I Convention w/dosing <br /> DESIGN RAT <br /> If Percolation Tests are NOT required E: If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)161,indicate: ria 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 BACK.) <br /> 7" dk bn s, 19" bn med s, 12" 1-bn f s , 34" <br /> B- 1 72" 99.45 none 72" It bn med c s. <br /> 9" dk bn s, 40" R-bn med s, 12" It bn s, w/mot R <br /> B- 2 75" 99.70 none 83" fff 0 61" , 1411 <br /> B- 3 70" 98.80 none 64" 6" bn dk bn s, 26" bn med s, 34" It bn c s, 4" <br /> bn fff <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH I WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> -NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD ( PERIOD2 PIFRIOD 3 PER INCH <br /> P. n _ __ none na na na <br /> P- 2 38" none 5 na na na <br /> P_ 3 27" none 5 na na na <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 96.50 <br /> O- BM HRP/VRP top of cement <br /> foundation SE corner <br /> 4 bdrm of house Ass'd ele 100.00 <br /> Did hse ❑ - Bore hole <br /> Sys em <br /> BM _ • - Perc test <br /> _70X12 suitable area <br /> jkarag <br /> een/on 6395 <br /> PI — - <br /> 63 �j l <br /> b <br /> � swimmi r N <br /> pool - <br /> s <br /> Be <br /> 7 ` <br /> 1 <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 /> Administrit,ve 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 /> Joan E. Daniels 9/30/88 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optionall: <br /> BOX W Siren, WI 54872 CST 3431 715-349-5533 <br /> CS SIGNATURE. <br /> G <br /> L . <br /> DISTRIBUTION: O ,glna[and one copy to Local Authority,Property Owner and Sol[ Tester. <br /> 'ILHR-SBD 6395 IR-10/831 —OVER — <br />