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DEPARTMENT OFREPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 57969 <br /> HUMAN RELATIONS <br /> (I LHR 83.09(1)&Chapter 145) <br /> LO ATION: SECTION: TOWNSHIP. OT NO.:BLK.NO.: SUBDIVISION NAME: <br /> 1/4 NE 1V 18 / 0 N/R 151,Wrj W JACKSON <br /> CO, NTY: MAILING ADDRESS: — 7— 7 <br /> URNETT IM & URA MCCAUL 904 W MONTANA ST PAUL MN, 55117 <br /> USE DATES OBSERVATIONS MADE <br /> ff--11 NO.BEDR : COMMERCIAL DESCRIPTION: R S: A ES S: <br /> IJResidence 2N/A El New Replace 05-11-1994 N/A <br /> RATING:S=Site suitable for sy em U=Site unsuitable for system <br /> ONVENTIONAL: I IN-GROUND-PRESSURE: SYSTEM-I N-FI LL OLD ING TANK:RECOMMENDED SYSTEM:(optional I <br /> ilS ❑U ®S U ®$ ❑U El S [:]U ❑S ®U I BORING BY EXISTING BED <br /> If Percolation Tests are NOT res fired DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indic te: N/A Floodplain,indicate Floodplain elevation: N/A <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GR UN DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE,AND DEPTH <br /> NUMBER DEPTH IN, ELEVATIO14 OBSERVED EST.HIGHErT__ TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 80 99.0' NONE >80 0-6" B1 sl, 6-60" Bn s, 60-801, Bn sl <br /> B- <br /> B- <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATERT HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSVIELLING INTERVAL-MIN. PERIOD PERIOD 2 P PERINCH <br /> PN/A N/A <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 95.67' <br /> 1 ; 1 <br /> DRIV <br /> Ll <br /> t _ IF <br /> FI2E508fi +>OR INFIELD: 0IN 750 TANK -> SCOL. - L' 4Q I �nBM. _HORZ. uRP_IEL - 1TOPOF�VENT�IPEB - SO-IL BORING800' <br /> HOUSE 37 ACNE PARCEL <br /> j 2000X_ <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 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 /> KEN STI EL 05-11-1994 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> WEBSTER WI 54893 3322 15-349-2990 <br /> CST SIGNATURE: <br /> DISTRIBUTION: Original an on -pTotity, Property Owner and Soll Tester. <br /> DI LHR-SBD-6395(R. 10/83) —OVER — <br /> _ i <br />