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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS P.O.SON BOX 7969 <br /> 3707 <br /> HUMAN RELATIONS \ / MADISON,WI 53707 <br /> (ILHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDI VISION NAME: <br /> ---J/4----V4 11 /T 40N/R 14k/6/I W SCOTT 1 4 GOV T LOT 8 <br /> COUNTY: MAILING ADDRESS: <br /> BURNETT JAMES DORGREN 8401 HYDE AVE. SO. COTTAGE GROVE,MN 55016 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILEDESCRIPTIONS: PERCOLATION TESTS: <br /> ®Residence 2 N/A New F-1 Replace 12/12/92 12/12/92 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> O��NVjEp TTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> LJJ ❑Q DS ❑U X ❑S 0U []S ©U 480 sq ft CONVENTIONAL <br /> Fu", <br /> Percolation Tests are NOT required ESIG RATE: [Floodplain, <br /> any portion of the tested area is in the <br /> der s. ILHR 83.09(5)(b),indicate: indicate Floodplain elevation: N/A <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL ELEVATION PTH T UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, OBSERVED E T. I HEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> 6"7 . YR S1 ts, — " YR MeC7 s, <br /> B- 1 76" 97 . 5 ' NONE > 76" 70-76"7:5YR5/4 med s . <br /> s s , — mes w <br /> B- 2 76" 96 . 7 ' NONE > 76" 5"dia . 7 . 5YR4/6inc1 .C38" <br /> B- " 7 . 1 ' NONE > 76" SIMILAR TO #1 <br /> 6"7 . 5YR3/2 S1 tS ,6-72"7. 5YR4/4 med s, <br /> B 97. 2 ' NONE � 76" <br /> B- 5 76" 97 . 3 ' NONE > 76" SIMILAR TO #2 <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 PERIOD2R PER INCH <br /> P- n Dr)ne &'i1 <br /> P- 7 2411 1,011 <br /> P- 9911 r1 <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 PRIMARY 94. 7 ' (ALTERNATE 94. 3 ' ) <br /> NATE. „ NO SCAL� , <br /> F <br /> I� tABM ELE'V: 100 .0 ' <br /> F" (MAIL IN 'POWER POL9) <br /> �✓ _ WEL.k1,_....Tk� B�-- <br /> pNO- LESS <br /> TEST ARTHAN - <br /> FROM SOIL <br /> ...._ 9 .. .. t... ,.... <br /> . f <br /> A;.. <br /> ±10IR-1 / <br /> -7 ! /S, , <br /> ��- <br /> --------------- <br /> _j _. <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by n ac rd with the procedures and m thods specified in he 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): M D V TESTS WERE COMPLETED ON: <br /> 1111 Q[ R 12/12/92 <br /> ADDRESS: NCR A Box 478d CERTIFICATION NUR IBER(optional): <br /> 14 <br /> (716"-7482 CST NATU1 <br /> DISTRIBUTION: Original and One copy to Local Authority,Property Owner and Soil Tester. J <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />