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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAF ETY& BU I LD I NGS <br /> INDUSTRY, DIVISION <br /> LABOR AN 4 PERCOLATION TESTS (115) MADISON WI 79069 <br /> HUMAN RELATIONS <br /> (ILHR 83.090) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/ OT NO.:BLK-NO.: SUBDIVISION NAME: <br /> NW 1/4 SE 1/4 35 /T 39N/R16 (W.W MEENON <br /> COUNTY: MAILING ADDRESS: 407-773-0120 <br /> BURNETT SIMON E. LEVKA 1667 N. HEDGECOCK SQ. SATELLITE BEACH,FL 3293 <br /> USE DATES OBSERVATIONS MADE <br /> Residence <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: New R DESCRIPTIONS:1PERCOLATION TESTS: <br /> ❑ Replace <br /> 2 N/A 06-20-1990 06-20-1990 <br /> YES REPLACE <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional I <br /> ElS ❑U I 0S ❑U ®S ❑U RIS ❑U I ❑S 0U I CONVENTIONAL BED — 18 ' <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: N/A Floodplain, indicate Floodplain elevation: N/A <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. I HEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 70 100 . 2 NONE 66 0-6"111 sl, 6-66"bn s, 66-70"bn s w/fff R sot <br /> B- 2 70 100 . 1 NONE 67 0-611 sl, 6-67"bn s, 67-70"bn s w/fff R sot <br /> B_ 3 70 100 . 2 NONE 67 0-611 sl, 6-67"bn s, 67-70"bn s w/fff R sot <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 INCHE AFTER SWELLING INTERVAL-MIN. PETOD 1 PERIOD 2 P R PER INCH <br /> P <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 9 7 . 75 <br /> t <br /> E S1 AT`E HIGHWAY ?D <br /> _ d __ _ <br /> IRE u b385 ) 3 <br /> SCALE:LE: = 440' <br /> 41-_..___ __ <br /> $hk BOTI_OM IDI < L. 00'> C 1 <br /> I - i SOIL B(RD� <br /> t <br /> - PE TE <br /> STS <br /> F , <br /> 5 RE PA EL 1 <br /> H Et�B <br /> l <br /> E <br /> 1, 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): KEN STRABEE ITESTS WERE COMPLETED ON: 06-22-1990 <br /> ADDRESS: 7735 AIRPORT ROAD WEBSTER, ►) I 3 CER IMF)FjTION NUMBER: PEjQ( N)J41ERY" tal►: <br /> CST SIGNATURE: <br /> }} jj JJ LL 11 <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />