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DEPARTMENT OFREPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 <br /> 3707 <br /> HUMAN RELATIONS MADISON,WI 53707 <br /> (ILHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/ LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> EI SE1/4 SE 1/4 28 /T 9N/R16fXor)W Meenon -- -- -- <br /> COUNTY: MAILING ADDRESS: <br /> Burnett Daniel Kleinschmidt PO Box 575 Rice Lake WI 54868 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDR .: COMMER N <br /> AL DESCRIPTION: PR FI T ONS: PERCOLATION TESTS: <br /> esidence 3 __ ew ❑Replace 4/28/94 1 4/28/94 <br /> RATING: S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRBSSURE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> Els EU ❑S U �S []UOS Op ES ©p Conventional <br /> If Percolation Tests are NOT tact ired DESIGN RATE: I If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: n a IL Floodplain, indicate Floodplain elevation: n a <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 ES HET TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 63 " 100.00 63" 63" 0-63 bn s 7.5YR4/6 w/c @ 63" bn 7.5YR4/6 <br /> B- 2 60" 99.60 60" 6011 0-60 bn s 7.5YR4/6 w/c @ 60" bn 7.5YR4/6 <br /> B- 3 63" 100.00 63" 6311 0-63 bn s 7.5YR4/6 w/c @ 63" bn 7.5YR4/6 <br /> B_ 4 60" 99.60 60" 6011 same as B 2 <br /> B- 5 63" 99.80 6311 6311 same as B 1 4 3 <br /> B- N te: sails are similar in area. Approx. 6" top soil bn 10YR3/3 s had been dozed off entir <br /> area to level aid clear brus in prgjRZbL"6keTpgiff location. <br /> TEST DEPTH WATER I HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERS ELLING INTERVAL-MIN. PERIOD PERIOD p R PERINCH <br /> P u <br /> P- 2 2211 noie 10 3 3/8 31/2 31/2 3 <br /> P- 3 2611 noie 10 31/2 31/4 31/2 < 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 refer nce 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. 9q 15 <br /> SYSTEM ELEVATION 0.75 ?>,zc°to N lot line <br /> _ t iD; T - <br /> BM 14 <br /> " }arrltpine . alt areas — �M I IBS <br /> oP of Inai l & tape I— —, — <br /> Ass 'd Ie 100. suitable a-B <br /> I area --i �T? !extra cover needed _ <br /> Ito meet min code <br /> ❑ bore h Ie B2 °'P z_ Pp 7 iL <br /> area cleared _ _. <br /> P . perc t st for MH- <br /> CD Note: Well must be _. _ TIV <br /> min 25' ifr m septic tank — CD <br /> — <br /> r & min. 5011 rom_drain.-field -- 3 bdrm MH _ to v_ <br /> p c ar> <br /> i I(ro' C L <br /> I Scal 1 �0 '. <br /> N Y <br /> unless therwise noted New _L10 # 701 <br /> Midtown Rd <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 4/28/94 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE N UMBER(optional): <br /> PO Box 715-349-5533 <br /> - <br /> iAfy i _ t' CS SIGNATURE <br /> DISTRIBUTION: Ori G� <br /> inal and on co �'f � <br /> Original copy to Local Authority,Property Owner and Soil Tester. f- <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />