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INDU§T ,Y, 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 />(H63.09(1) & Chapter 145.045) <br />LOCATION: <br />Ni �SE1� <br />SECTION: <br />3b /j41 N/R17c) W <br />TOWNSHIP/� (X ft§,4)T,X: <br />Swiss <br />LOT NO.: <br />15 <br />BLK. NO.: <br />na <br />SUBDIVISION NAME: <br />Black Bear Acres <br />COUNTY: <br />OWNER'S/BUYER'S NAME: <br />MAILING ADDRESS: <br />Burnett <br />Floyd E. Wages <br />1 422 S 2nd Ave. Canton IL 61520 <br />Residence <br />NO. BEDRMS.: <br />COMMERCIAL DESCRIPTION: <br />J1 New 1:1Replace <br />ISYSTEM-1N-FILLHOLDI <br />E!]❑U <br />2 <br />na <br />EST. HIGHEST <br />RATING: S= Site suitable for system U= Site unsuitahle for system <br />DATES OBSERVATIONS MADE <br />IPROFILEDESCRIPTIONS: PER OLATIONTESTS: <br />: 7/20/84 1 7/20/84 <br />CONVENTIONAL: <br />S ❑U <br />MOUND: <br />©S ❑U <br />IN -GROUND -PRESSURE: <br />ES[]U <br />ISYSTEM-1N-FILLHOLDI <br />E!]❑U <br />NG TANK: <br />❑ S x0U <br />RECOMMENDED SYSTEM: (optional) <br />Conventional <br />If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br />If <br />s.H63.09(5►(b), indicate: na Floodplain, indicate Floodplain elevation: na <br />PROFILE DESCRIPTIONS <br />BORINGI <br />NUMBER <br />TOTALDEPTH <br />IDEPTH IN, <br />ELEVATION <br />TO GROUNDWATER <br />-INCHES <br />CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH <br />TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) <br />OBSERVED <br />EST. HIGHEST <br />B-1 <br />80" <br />99.65 <br />none <br />-> 80" <br />5" <br />Bl <br />med <br />s, <br />15" <br />R <br />med <br />s, <br />60" <br />R <br />cs <br />P- <br />B-2 <br />80" <br />99.45 <br />none <br />> 80" <br />5" <br />Bl <br />med <br />s, <br />31" <br />R <br />med <br />s, <br />44" <br />R <br />cs <br />w/gr <br />B-3 <br />80" <br />99.30 <br />none <br />> 80" <br />5" <br />B1 <br />med <br />s, <br />40" <br />R <br />med <br />s, <br />35" <br />R <br />cs <br />w/gr <br />B-4 <br />80" <br />99.35 <br />none <br />> 80" <br />5" <br />Bl <br />med <br />s, <br />30" <br />R <br />med <br />s, <br />4511 <br />R <br />cs <br />w/gr <br />B-5 <br />80" <br />99.25 <br />none <br />> 80" <br />5" <br />Bl <br />med <br />s, <br />25" <br />R <br />med <br />s, <br />50" <br />R <br />cs <br />w/gr <br />B-6 <br />80" <br />99.00 <br />none <br />i 80" <br />5" <br />Bl <br />med <br />s, <br />25" <br />R <br />med <br />s, <br />50" <br />R <br />cs <br />w/gr <br />PERCOLATION TESTS <br />TEST <br />NUMBER <br />DEPTH <br />INCHES <br />WATER IN HOLE <br />AFTERSWELLING <br />TEST TIME <br />INTERVAL -MIN. <br />DROP IN WATER LEVEL -INCHES <br />PERIOD 1 PERIOD2 PERIOD3 PERIOD <br />RATE MINUTES <br />PER INCH <br />P- 1 <br />3611 <br />none <br />� J <br />3 t- <br />2 <br />P-2 <br />361, <br />none <br />5 <br />317 t- 8 <br />2 <br />P <br />6" <br />none <br />5 <br />3t 1 3 t- <br />2 <br />P- <br />All <br />elm <br />P- <br />Must be Min 5o' <br />be#rrte►n wWt t �' / <br />n <br />FrorA `�,�i ►XII. <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 96.30 <br />TN <br />5 Ac rz 5I75 - DV.AWIAI Nor 1b Scme- <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 />LETED ON: <br />Joan E. Daniel <br />ERTIFICATION NUMBER: IPHONE NUMBER (optional): <br />ATURE: <br />DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. <br />DI LHR -SBD -6395 (R. 02/82) — OVER — <br />Boe holes <br />Ibaikrn M/1+ <br />A 8M BASC OF I1.OAK- <br />0 <br />� J <br />MAvKeci w(W-ttn�OA��r <br />I , - 5ui4A We Av e,4 <br />w, r \\ <br />0 <br />i <br />9 <br />All <br />elm <br />Must be Min 5o' <br />be#rrte►n wWt t �' / <br />n <br />FrorA `�,�i ►XII. <br />TN <br />5 Ac rz 5I75 - DV.AWIAI Nor 1b Scme- <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 />LETED ON: <br />Joan E. Daniel <br />ERTIFICATION NUMBER: IPHONE NUMBER (optional): <br />ATURE: <br />DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. <br />DI LHR -SBD -6395 (R. 02/82) — OVER — <br />