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DEPARTMENT OF REPORT_ ON SOIL BORINGS AND $,QFETY & BUILDINGS <br /> INDUSTRY, - - - G_ DIVISION <br /> LABOR AND, PERCOLATION TESTS (115) MADISON WI 53707 <br /> HUMAN RELATIONS _ <br /> (I LHR 83.0911) & Chapter 145) n �' <br /> LOCATION: SECTION: [ TOWNSHIP/A�k1R+k�3dRh[4CIAX: LOT NO.:ELK.NO.: SUBDIVISION NAME: <br /> �� �� 25 /T38 N/R18aFxWW Wood River 3 na na <br /> COUNTY: OWNER'S 31X`7A3CW,NAME: MAILING ADDRESS: <br /> Burnett I Neil Miller Rt. 1 Box 1623 Hudson, WI 54016 <br /> USE DATES OBSERVATIONS MADE <br /> r� NO.BEDRMS.: COMMERCIAL DESCRIPTION (PROFILE DESCRIPTIONS: PER OLATION TESTS: <br /> LniResidence 3 na DESCRIPTION <br /> 1:1 Replace l L8/20/87 8/20/87 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-I NFILL HOLDING TANK: RECOMMENDED SVSTEMaoptional) <br /> ©S ❑U 0$ ❑U �S ❑U ❑S DU ❑S E]U I Conventional <br /> : <br /> If Percolation DESIGN RATE <br /> Tests are NOT required If any portion of the tested area is in the <br /> under s. (LHR 83.09(5)1b),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 BACK.) <br /> 11" Dk Bn sl , 11" Bn f sl, 56" R-Bn c s w/gr. <br /> B- 1 78" 97.05 none > 78" <br /> B- 2 72" 97.00 none > 72" 9" Dk Bn sl , 12" Bn f sl , 51" R-Bn c s w/gr. <br /> 13- 3 841, 97.70 none > 84" 8" Dk Bn sl , 19" Bn f sl, 57" R-Bn c s w/gr. <br /> B- 4 9o" 98.15 none 7 90" 15" Dk bn sl , 21" Bn f sl , 54" R-Bn c s w/gr. <br /> B- 5 96" 98.80 none > 96" 10" Dk Bn sl , 15" Bn f sl, 71 " R-Bn c s w/gr. <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 PERIOD PERINCH <br /> P_ 1 3711 none 5 3' 3 1 /8 3 5116 2 <br /> P- 2 36" none 5 3- 3' 3 1 /8 2 <br /> P- 3 43" none 5 3 1 /16 - 2 <br /> P- <br /> P- <br /> P- <br /> PLOT PLAN: bhow 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 94.00 <br /> z <br /> C+W& Wood Lak& <br /> JIM,00/0 7,110010 <br /> -- c - Bore hole <br /> 1 builing Perc test <br /> site <br /> ®— BM top of nail <br /> Gll & tape in clump <br /> 7�'S / of Bass wood Au <br /> )p 8� �7' ,Zp' trees. N <br /> I�aI/ Ass'd. ele 100.00 <br /> 35� IS' c ,Q3 IW <br /> 1 Iq(r 83 5Infgbl�Ara <br /> an <br /> L7 Note: Well must min 25 ' from <br /> septic tank and min 50' from <br /> to mak,of seepage bed. <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 /> Joan E. Daniels 8/20/87 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> Box W Siren, WI 54872 3431 (7�1�5-X34499-5533 <br /> !cAT SIGNATURE. <br /> C �rY <br /> DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. <br /> J <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />