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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, - C DIVISION <br /> LABOR ANBOX 76 <br /> HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> (ILHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> NE 1' NW !/4! <br /> 14 /T 401 17EIpr Union Tow"hip Ipct. E 1/4 NW 1/4 <br /> COUNTY: MAILING ADDRESS: <br /> Bmnett BaAb ReineAt 310 W. 12th StAeet Hahtin ,5, MN 55033 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMER IAL DESCRIPTION: R FI D S R PTIO NS: A ON TESTS: <br /> Residence 2 ------------- E]New ®Replace <br /> ApniL 4, 1992 AnAi2 4, 1992 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN-GROUNDPRESSItE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:loptional) <br /> ®S ❑U ®S ❑U x❑S ❑U ❑S ❑X ❑S x❑p Convention. <br /> Percolation Tests are NOT required DESIGN RATE: <br /> If If any portion of the tested area is in the <br /> under s. ILHR 83.0915)(1a),indicate: Floodplain, indicate Floodplain elevation: NIA <br /> PROFILE DESCRIPTIONS <br /> BORING TOTALD PTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATIGN OBSERVED ES HIGH TO BEDROCK IF OBSERVED ISEE ABBRV.ON BACK.) <br /> 0-5" Dk Bn Ph; 5"-61" Bn med. e; 61"-72" 2t Bn <br /> B' 1 72" 99.7 None >72" med, e <br /> 0-4" Dk Bn a; 4"-64" Bn med. S; 64"-72" 2t Bn <br /> B- 2 72" 99.7 None >72" med. A <br /> 0-5" Dk Bn a; 5"-59" Bn me . ,s; - n <br /> B- 3 72" 99.4 None >72" med. e <br /> B- <br /> B- <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. PERIOD PERIOD PERIOD 3 PER INCH <br /> P " None 3 1 718 1 3/4 1 518 2 <br /> P- 9 3611 None 3 1 13116 1 11/16 1 11/16 2 <br /> P- 3 3311 None 3 1 15116 1 718 1 3/4 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 96.7 Scate 1" = 40' except where noted. <br /> A , <br /> l <br /> Apphoximatety, 5 Acnes <br /> O <br /> <-------App,, 219'-7-- ------ - >' BM B1 dPI P3 Q B3 <br /> Houee B2 I, P2 <br /> l TN0 <br /> M <br /> BM := 100.0 Benchmank,_Bottom ob Siding. <br /> v _iBoAing _ <br /> ° __Penc <br /> V - - <br /> <- ;A AOX. 660'- --- -- - t- > <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 specifd'f tfSe o`sin <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. OS' n' <br /> NAME (print): TESTS WERE COMPLETED ONLL <br /> Wade Ru4hhoem A hit 4, 1192 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBERIoptional): <br /> 24702 Lind Road P.U. Bax 514 S-iAen, WI 54872 3583 1715)349-7286 <br /> CST SIGNATURE; <br /> DISTRIBUTION:Original and one copy to Local Authority, Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />