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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 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/=01A: 7[M OT NO.:BLK.NO.: SUBDIVISION NAME: <br /> NW7I Nk�1 33 /T 39N/R 19EII4,4 West Marshland na na na <br /> COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: <br /> Burnett Phil Knudson Rt. 2 Box 259 Stanchfield, MN 55080 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMER IAL DESCRIPTION: PROFILE DESCRIPTIONS: PER OLATION TESTS: <br /> ®Residence 2 na ( New ❑Replace I 10/8/84 na <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: f. OUNND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> ❑S ®U ❑S ❑x U EISEA 10SEA111SEjul Holding tank <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: na I I 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 /> B 1 19" 98.90 none 16" 5" Bl s 14" Bn s w mot @ 16" R fff m d <br /> B- 2 17" 99.00 none 14" 3" B1 Si14" Bn s w/mot @ 14" R c m d. <br /> B- 3 19" 99.10 none 14" 5" B1 s, 14" Bn s w/mot @ 14" R cc, m, d. <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD2 PERIOD 3 PER INCH <br /> P- <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 OR <br /> em'TRAM Rh. p 7�p1a 33 <br /> LOrt ! I ❑ - 6oRc'hDle <br /> Are <br /> � r�Pq I =.BM ftSSVINCcP <br /> SSR cl e. loo.oo <br /> � BDFm <br /> MH <br /> T N <br /> 13 514 <br /> � IZ" OlMC.TFC.G <br /> ' ^ <br /> 6> 1po' �f✓, <br /> 1,71 <br /> to. Area Level musf be Mid <br /> ea IIA �5` From Hd41aj 4wA <br /> DYRWiny rot �o. stole <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 /> Joan E. Daniels 10/8/84 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> Box W Siren, WI 54872 3431 715-463-2333 <br /> C SIGNATURE: A / <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />