Laserfiche WebLink
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, -- _ - - DIVISION <br /> /� C P.O. BOX 7969 <br /> LABOR AND <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON,WI 53707 <br /> (ILHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP LOT NO.:BILK.NO.: SUBDIVISION NAME: <br /> SW 1/4 SE �V 21 /T38 N/R 17k:Fdf)W Daniels na na na <br /> COUNTY: OWNER'S/ S NAME: MAILING ADDRESS: <br /> Burnett John Kopp Box 454 North Branch, MN 55056 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMEfl CIAL DESCRIP"I ION: _ PROFILE DESCRIPTIONS: E CO CATION TESTS: <br /> ©Residence 2 na uNew JC.JReplace 6/5/87 6/5/87 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FI LL HOLDI NG TANK: H ECOMMENDED SYSTEM:(optional) <br /> ©S ❑U EIS �U _ ©S ❑U [:]S ©U ❑S ®U Conventional <br /> DESIGN RATE: na <br /> If Percolation Tests are NOT required If any portion of the tested area is in the <br /> under s. ILHR 83.0915)(6),intlicate: 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 72" 100.05 none > 7211 41' Dk Bn s 1 t s, 20" Bn s 1 w/gr & cob, 48" R-Bn <br /> c s w/gr. <br /> B- <br /> "B- 3 <br /> 72" 99.33 none > 7211 41, Dw/Bn s 1 t s, 22" Bn sl w/gr & cob, 4611 R-Bn <br /> Ic <br /> 72" 99.20 none 7 721. 4115Dtk'f/BC s 1 t s, 23" Bn sl w/gr & cob, 45" R-Bn <br /> B- <br /> B- _ <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NU_MBE_R INCHES AFTERSWELLING INTERVAL-MIN. PERIoot PERIOD2 PER PER INCH <br /> P none _ 10 3- 3 3/8 3 1 /8 3 <br /> 1 8 3 <br /> P- — <br /> P- " none 1D /8 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 97.00 <br /> o - Bore hole <br /> Dunham Lake Rd. <br /> 1 # Fir �l 52115 <br /> • - Pero test <br /> 'P1�t 81 <br /> BM 10" White oak <br /> P3 8i'�'QIOf O top of nail & tape <br /> `,•g6 y Ass'd ele 100.00 <br /> B� - Well tH <br /> she 1� <br /> $ 2 bdrNote: Well must be min 25 ' I - Suitable area <br /> cabin addition Note: YLt10 fb <br /> Well from septic tank and min 50' - -from drain field. <br /> F Sting <br /> � f / Top of drainfield to be altered 71001 I -770°`0 to meet 18" cover as per code. <br /> 50, WWWW— <br /> ..w Dunham Lake+✓ <br /> 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 /> turnstmtwe Code,and that the data recortled and the location of the tests are correct to the best of my knowledge and belief. <br /> E (print); NESTS WERE COMPLETED ON: <br /> i E. Daniels 6/5/87 <br /> SS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> Siren, WI 54872 3431 715-349-5364 <br /> SIGNATURE <br /> C. <br /> V: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> 3 (R. 10/83) —OVER — <br />