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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, . DIVISION <br /> LABOR RE T - PERCOLATION TESTS 115 P.O. BOX 7969 <br /> HUMAN RELATIONS MADISON,WI 53707 <br /> (I LHR 83.09(1)&Chapter 145) <br /> LOCATION: SECTION: TOWNSHIPp@¢@ { LOTNO.:BLK.NO.: SUBDIVISION NAME: <br /> 1/4 �� 13 /T41 NAME for Swiss Townshi 1. t 1 <br /> COUNTY: MAILING ADDRESS: <br /> Burnett John Vol en Box 188 Balsam bake, WI 54810 <br /> USE DATES OBSERVATIONS MADE <br /> NO. DRMS.: COMMER IAL DESCRIPTION: IPROFI DESCRIPTIONS: A N TESTS: <br /> ®Residence <br /> ------------ ( New ❑Replace <br /> Sept. 6, 1991 Sept. H, 1.991 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: -GROUND-PRESSURE: SYSTEM- N-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional)O ❑ ❑ ❑ <br /> ©S ❑U ❑S EA ❑S nU Conventional <br /> If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: II Floodplain, indicate Floodplain elevation: N/A <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL ELEVATION D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, OBSERVED LST.HIGHESTTO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B-1 7211 99 None >72" 0-5" Dk Bn ls; 5"-41" Bn rned, s; 41"-72" It Bn reed <br /> s <br /> 0-5" Dk Bn ls- 5"-44" Bn med. s; 44"-72" It Bn <br /> B-2 72" 98.6 None >72" s <br /> g-3 72" 99.1 None >72" 0-6" Dk Bn ls; 6"-39" Bn med. s; 39"-72" It Bn mid, <br /> g 4 72" 99.3 None >72" 0-5" Dk Bn ls; 5"-43" Bn med. s; 43"-72" It Bn red <br /> g- 5 72" 98.9 None >72" 0-6" Dk Bn ls; 6"-37" Bn med. s; 37"-72" It Bn coed <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. pERIOD1 PERIOD P R PER INCH <br /> P- 1 29" None3 1 1/2 1 7/16 1 5/16 2 <br /> p- 2 24" None 1 5/8 1 1/2 1 3/8 2 <br /> P- None 1 7/16 1 3/8 1 1/4 2 <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 96.6 Scale 1"=40' except where noted <br /> Bass ( Lake Road <br /> <'-------- --- ---- -------------- Approx. <br /> jju ---------------1------------------ <br /> AopXoxiMtely 10 Acres <br /> i <br /> VjBM <br /> , ' TN <br /> o <br /> ,D <br /> E12eaPIBBl , <br /> P2 <br /> ...._ .. . <br /> P2 B2 <br /> P <br /> BM=100!_O Benchmark, Nail in B5 4 4B4 <br /> i_. <br /> base of post at Southeast <br /> corneri of house. _ <br /> d Boring ! °Peic <br /> _ I <br /> V <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the proceduresand methods s cified jfi the Wiscionsin <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: S� <br /> Wade Rufsholm September 6, 1991 11VI:A/ <br /> ADDRESS: CERTIFICATION NUMBER: I PHONE NUMBER(optional): <br /> 24702 Lind Road P.O. Box 514 Siren, WI 54872 3583 (715) 349-7286 <br /> CST SJJ'iNATURE: <br /> DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. <br /> DI LHR-SBD-6395 (R. 10/83) —OVER — <br />