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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, - DIVISION <br /> LABOR ANDPERCOLATION TESTS (115) MADISON WI 53707 <br /> HUMAN RELATIONS <br /> GL 4 (1 LHR 83.09(1) &Chapter 145) <br /> LOCATION: SECTION: TOWNS HIP/]GAQiR07AXgI.TX: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> 1/4 1/4 34 /T38 N/1118 ku)W Wood River 1 na na <br /> COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: <br /> Burnett Mike Egeland 2914 36th Ave. N.E. Minneapolis, MN 55418 <br /> USE DATES OBSERVATIONS MADE <br /> II�� <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: IIPROFIO�CT? TONS: ER OLATION TESTS: <br /> OResidence 4 na 17 New ©Replace L 4/11/85 na <br /> RATING: S=Site suitable for system U=Site unsuitable for systam <br /> CONVENTIONAL: MOUNpD: IN_ -GROUND-PRESSURE: SYSTEpM-IN-FILL HO LDIINNG TANK: RECOMMENDED SYSTEM:(optional) <br /> ❑S DU ❑$ ®U ❑S ®U ❑$ ®U ®$ ❑U I Holding tank <br /> If Percolation Tests are NOT required DESIGN RATE: If any Portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: na Floodplain, indicate Floodplain elevation: na <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL D PTH 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 /> 6" Bl sil top soil w/mot fff, 32" med Bn sl w/gr <br /> B- 1 38" 94.30 32" Grd_ level <br /> B- 2 38" 97.00 none 11" 6" B1 sil, 11" B1 sil w/gr &w/mot @ 11" R c m d, <br /> 2'V1 med Rn 110° B1 sl s, 26" sil compacted w/gr & cob, w/mot <br /> B- 3 78" 98.00 none 2 " @ 2311 c mm d 42" sil w mot RY c mm J. <br /> 8" Bl sil, 10" R Bn sil w/mot @ 10" c m d, 14" <br /> B 4 32" 97.95 none 1011 R <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> EPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER I TER SWELLING INTERVAL-MIN. PERIOD PER1002 PERIOD PER INCH <br /> P- <br /> P- <br /> P- <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 na <br /> tk /W <br /> a - eoKtubs <br /> VI MY- <br /> ria .ndy � <br /> - orifi�kdrio T N <br /> J '�1) r^f' VfP4I M1144hL Min <br /> LRIL� `�f p <br /> 1, 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 4/11/85 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> Box W Siren. WI 54872 <br /> ICW SIGNATURE <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DI LH R-SBD-6395 (R. 10/83) —OVER — <br />