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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDING <br /> INDUSTRY, G DIVISIOI <br /> LABOR AN ' BOX 796 <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON WI 5370 <br /> (I LHR 83.09(1)& Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> 1/4 iV 7 /T 40N/R 16f loOW UakXand Townsht 8 Riven Oaks SubdivisS on <br /> COUNTY: MAILING ADDRESS: <br /> Burnett Ge Age and Chan Wetdendaab 31270 Jackson Road NE CanbAidge, MN 55008 <br /> USE DATES OBSERVATIONS MADE <br /> � <br /> I-7� NO. EDRMS.: COMML ER IADESCRIPTION: R T 0 S: PERCOLATION TESTS: <br /> [, Residence 2 -____-_---- New ❑Replace I May 2, 1994 May 2 1,994 <br /> RATING:S=Site suitable fit r system U=Site unsuitable for system <br /> ONVENTIONAL: MOUN WGROUND-PRESSURE: SYSTEM-IN-FILL OWING TANK:RECOMMENDED SYSTEM:(optional) <br /> ❑S ❑u o 01) , a S ❑u ❑S au ❑S ou Convent(anak <br /> If Percolation Tests are NO required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.091511b), ndicate: Floodplain, indicate Floodplain elevation: NA <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTHTO GR UN DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION. OBSERVED EST.HIGHEKT__ TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 7211 95.6 None >7211 0-4" Dk Bn ems; 411-7311 Bn mss; 1311-72" R A'5 <br /> Bn - n - s <br /> g_ 2 72" 96 None >72" <br /> B_ 3 7211 96 None >72" same as B2 <br /> B 4 72 95.8 None >7211 rr 0-411 Dk Bn Xz; 4"-1311 Bn t,6;s; 1311-7211 R As <br /> B_ 5 7211 96.3 None >72n -511 Dk Bn Xis; 5"-15" Bn t,5; 1511-7211 R {�s <br /> B_ <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-IN HES RATE MINUTES <br /> NUMBER INCHES AFT RSWELLING INTERVAL-MIN. PERIOD PERIOD PLHIUUJ PLRPERINCH <br /> P- 1 181' None 5 1 712 <br /> P- 2 2311 None 5 1 9116 <br /> P- 3 2311 None 5 1 9116 1 112 <br /> P- <br /> P- <br /> P- <br /> PLOT PLAN: Show location of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the ho <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 perce <br /> of land slope. <br /> SYST M ELEVA ION 94. i SCaXe 111=401 except whore noted. <br /> M <br /> - - a 84 t-----`aB5 -' - ---—Appaox. '600' + -= - -- ---- <br /> o ° q B3 <br /> { P3 __. _ . <br /> t ° °P2 <br /> - -- Pr BT - 4 - <br /> tj <br /> 3 BM 100.0 BenahwaAk, HRP VRPL Tai <br /> . _. <br /> ob Lot stake. <br /> Pexc j A BoAAng I _ <br /> V <br /> I,the undersigned, hereby cE rtify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsii <br /> Administrative Code,and tha the data recorded and the location of the tests are correct to the best of my knowledge and belie <br /> NAME (print(: TESTS WERE COMPLETED ON: <br /> Wade Ru6shotm May 2, 1994 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optiona5 <br /> 24702 Lind Road P.U. Box 514 Siren, WI 54872 3583 (715)349-7286 <br /> CST SI NATURE: <br /> czt <br /> DISTRIBUTION: Original anI owe-copy to Local Authority,Property Owner and Soil Tester. / �- /�✓�� <br /> DILHR-SBDE395(R. 10/83) ..-��- - -OVER - <br />