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�� r Cf/3 25; . 4�sd <br /> DEPARTMENT OF RE PORT ON S L BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR ANDPERCOLATION TESTS (115) MADISON WI 53707 <br /> HUMAN RELATIONS <br /> (ILHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MI+N"PACttT'/: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> SE 1/4 NW 1/4 2/T 3M/R 1¢,40# DEWEY NA N NA <br /> COUNTY: OWNER'S LIYEFC:S NAME: MAILING ADDRESS: <br /> BURNETTGORDON HANSON 2700 S. BROADWAY, MENOMONIE, WI 54751 <br /> USE DATES OBSERVATIONS MADE <br /> VilNO.BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DESCRIPT NS: ER OLATION TESTS: <br /> Residence— — 2 NA New ❑Replace $/29/8$ $/30/$$ <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND IfV-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) <br /> ®S ❑U QS ❑U USOU EIS ®U ❑S ®U 410 SO FT BED <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 l 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 /> B- 1 72 97.3 NONE >72 4"5YR3/1 sl ts, 4-24"5YR4/4 fs, 24-48"5YR <br /> " YR4 6 sl 60-72rr5YR4 6 f <br /> 2 72 95.8 NONE >72 4"5YR3/1 sl ts, 4-30"5YR4/4 fs, 30-36"5YR <br /> B- ___ 4/6 sl 36-72"5YR4 6 fs. <br /> 3 72 95. 9 NONE >72 SAME AS #1. <br /> B- <br /> 4 72 96. 0 NONE >72 4"5YR3 1 s1 ts, 4-4 5YR s, - <br /> B- 4/6 sl, 60-72"5YR4/6 fS. <br /> 5 72 95. 7 NONE >72 SAME AS #4. <br /> B- <br /> B- <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 PERIOD2 PER PER INCH <br /> P- 6 18 NONE 10 2 2 2 5 <br /> P- 7 20 NONE 1 4 3 3 3 <br /> P- 8 21 NONE 1 4 3 3 3 <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 94. 31 <br /> NOTE: NO SCALE <br /> =R Q BM ELEV. 100.0 ' <br /> (NAIL IN 30" RED OAK TREE) <br /> 6 Y NO WELL <br /> O°' <br /> �oLMr', S SoIL.AREA <br /> sd 1% � f N <br /> LAKE ° <br /> t1hr,�D`vE <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 /> MELVIN J. FERGUSON AUGUST 30,1988 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBERIoptionall: <br /> P.O.BOX 71, SPOONER, WI 54801 3669 715-635 7595 <br /> CST IGN-ApTURE: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />