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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY,- DIVISION <br /> LABOR AND , P.O. BOX 7969 <br /> PERCOLATION TESTS 115 <br /> HUMAN RELATIONS ) MADISON,WI 53707 <br /> (1 LHR 83.09(1)&Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOTNO.:BLK.NO.: SUB DI VI SIGN N AM E: <br /> �� )4 10 /T 38 N/R17 E (or) Dantet S Tow"htp ct. 114 (d 114 <br /> COUNTY: MAILING ADDRESS: <br /> Buknett Goeh e BAodeAeon 23950 ToPtandeh Road #2 SiAen, W7 54893 <br /> USE DATES OBSERVATIONS MADE <br /> NO.SEDRMS,:]COMMERCIAL DESCRIPTION: S: ATION TESTS: <br /> ®Residence 2 ----- ®New ❑Replace May 28, 1993 IMay 28, 1993 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRFSSIRE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> ©S ❑U ©S ❑U ❑X S ❑U ❑S ©U ❑S ❑X U Conyentionat <br /> If Percolation Tests are NOT re uired DESIGN RATE: NSA <br /> 9 If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: I Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORINGTOTAL PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE,AND DEPTH <br /> NUMBER DEPfH IN, ELEVATION OBSERVED ES HE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> 0-7" Dk Bn tz; 7"-24" Bn gA; 24"-72" Bn med. 4 <br /> B- 1 72" 98.4 None >72" <br /> 0-6" Dk Bn 2s; 6"-21" Bn gA; 21"-72" Bn me—d-. ,5 <br /> B- 2 72" 97.5 None >72" <br /> 0-6" Dk Bn Zs; 6"-25" Bn gA; 25"-72" Bn med. s <br /> B- 3 72" 98 None >72" <br /> B. 4 72" 98.5 None >72" same as BI <br /> B• 5 72" 97.7 None >72" 0-7" Dk Bn tz; 7"-28" Bn gA; 28"-72" Bn med. a <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 P RI D2 P PERINCH <br /> P- 1 " None 5 1 15116 1 718 1 314 3 <br /> P- 24" None 5 1 17116 1 5/8 1 112 4 <br /> P- 3 Hit None 5 1 718 1 13116 1 11116 3 <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 95.5 Scaee 111=401 except wheAe noted. <br /> AppAo-mmatety_ 5 !Aca!es <br /> P7 A$2 4 B5 - <br /> I I <br /> r 73 $3 - _ T 1 T <br /> a: I <br /> o _ <br /> IAB1 d B4 - - <br /> _ . TN <br /> I i I <br /> .BM <br /> hBM,. °Peke <br /> �OBe nchmaAk,_ HRP S VRPJ Nait,_in.b"e o4 $" Po taA ,Tnge. . _ <br /> _... <br /> 10 <br /> Q BOA Ain <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 s ified i the Isconsin <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and lief. ( 7�;rj i <br /> NAME (print): TESTS WERE C L <br /> Wade Ru4zhotm Mau 28, 1993 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 24702 Lind Road P.U. Box 514 Sheen, (UT 54872 3583 (715)349-7286 <br /> CST SISIIGNATUR <br /> G <br /> DISTRIBUTION:Original and one copy to Local Authority, Property Owner and Soil Tester. <br /> DILHR-SB"395 (R. 10/83) —OVER — <br />