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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, _ - - -- - DIVISION <br /> LABOR AND - C P.O. BOX 7969 <br /> PERCOLATION TESTS (11J) MADISON,WI 53707 <br /> HUMAN RELATIONS <br /> (ILHR 83.0911) & Chapter 145) S-r-$-7-ate <br /> LOCATION: SECTION: TOWNSHIP/ LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> GL11/4 1/4 6 /T39N/R16T:K%"W Meenon 7 na Lakeshore Lots <br /> COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: <br /> Burnett Frank Presseller 3651 Van Buren St. N.E. Minneapolis, MN 55418 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL,DE$CRIPTION: PROFILE DES RIPTIONS: ERCOLATION TESTS: <br /> ❑Residence 2 n- + MReplace na <br /> x '. �., ❑New I 4/7/87 <br /> i <br /> RATING:S=Site suitable for sy ��=site-0 or system <br /> CONVENTIONAL: MOUND: IN-G N URE: SYSTEM-IN-FILLHOLDINGTANK: RECOMMENDED SVSTEM:(optional) <br /> ❑S ®U U x U �$ x❑$ ❑U Holdingtank <br /> DESIGN RATE: <br /> If Percolation Tests are N uire If any portion is the tested area is in the <br /> under s. ILHR 83.09(5)(b), is na Floodplain, indicate Floodplain elevation: na <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH 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 " 29 <br /> 1 20" 99.80 29" 6" 1 " dk Ion sl , 17" Ion s w/mot @ 6" R cmd <br /> B- 2 21 " 99.95 21" 18" 12" dk bn sl, 9" Bn sl mot R @ 18" cmd water @ 21 ' <br /> B- 3 17" 99.15 17" 7" 7" dk bn sl, 10" bn sl w/mot R @ 7" cmd, water @ 17" <br /> B- <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 PERIOD PER 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 na <br /> p - aoze hole <br /> rat2 bM ass'd elc )oo. <br /> dorm ® CemC&Ilil CoLbivi--TDP Of <br /> ±_111r7 I" ex4in(' system <br /> a, Ahm <br /> �1 2, <br /> ae' L <br /> lnv 4U most b� <br /> �� Wr,t 30r <br /> vcm WW. <br /> pvca <br /> k yo 03 <br /> am+son Rd. <br /> Ff r-1058 <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 /> Joan E. Daniels 4/7/87 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBEoptional): <br /> Box W Siren, WI 54872 CST 3431 715-4RI63-2333 <br /> CS SIGNATURE: <br /> Q.-�✓tJ �. p�¢nrcrr� <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. LI� <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />