Laserfiche WebLink
DEPARTMENT OFREPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> DIVISION <br /> INDUSTRY, <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 <br /> HUMAN RELATIONS <br /> (ILHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/M(J614aRN1XPM: LOT NO.:ELK.NO.: SUBDIVISION NAME: <br /> NE 1/4 SW 1/4 27 /T 37N/R18 6at4Trade Lake na n0, I na <br /> COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: <br /> Burnett Tom Drews 4026 NE 6th St. Columbia Heights, MN 55421 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIA L DESCRIPTION: PROFILED PTIONS: R OLATIONTESTS: <br /> ©Residence 2 na RNew ❑Replace I 5/19/86 na - <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN_ -GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM:(optional) <br /> EZS ❑U DSEUI EISEA EISKAIE]SEU1 Conventional <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: n0, 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" 105.20 none 72" 2" dk bn sl ts, 70" Bn med s. <br /> B_ <br /> Only one bore hoe taken to verify a 1980 soil test and establish <br /> 13- <br /> 13- <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 ( PERIOD PER PER INCH <br /> P- <br /> PMIA Nn pprin tnk-e23 <br /> - <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 102.20 <br /> Zoo p $01?e hole <br /> 6M nal ?4a <br /> -�� (.Arm O" <br /> Round <br /> m Bast of LO" <br /> dIl�- Ash +ru- <br /> �g SSd e4e, 100,00 <br /> zeay " Qe� TN <br /> CRbI A JIS' �D/0 <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 are 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 5/19/86 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional) <br /> Box W Siren, WI 3431 715-463-2333 <br /> CST SIGNATURE:` Jnrj —''LwJ <br /> G. <br /> L� <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />