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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR ANDPERCOLATION TESTS (115) MADISP.O. BOX 7969 <br /> ON WI 53707 <br /> HUMAN RELATIONS <br /> (ILHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: OT NO.:BLK NO.: SUBDIVISION NAME: <br /> S 4 Nw '/ 13 /T39 H/IL4 r Usx ) n/a * esrn✓, 9 )3� <br /> COUNTY: MAILIN ADDRESS: <br /> BURNFTT JOHN SIdANSON 231 2nd st, EXCELSIOR, IVIN 55331 <br /> USE DATES OBSERVATIONS MADE <br /> NO.e DR COMMER IAL DESCRIPTION: T. <br /> Residence 3 n/a ❑New XReplace 8/27/90 8/27/90 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> MENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDI NG TANK: RECOMMENDED SYSTEM:(optional) <br /> S ❑U ❑S ®U ®S ❑U EIS S ❑S ©U 615 sq ft drainfield <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.091511b),indicate: n/a Floodplain, indicate Floodplain elevation: n/a <br /> PROFILE DESCRIPTIONS <br /> BORING TOTALDEPTH To R UN DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHEST— TO BEDROCK IF OBSERVED 1SEE ABBRV.ON BACK.) <br /> B- 1 96 97.3 none 96 4"5YR3/2 sl ts, 4-48"5YR4/4 med s , <br /> rt <br /> B- 2 96 97.2 none > 96 SAlvIE AS ;/1 <br /> 5"5YR3 2 sl ts , 5- 2"5YR med s , <br /> B 6 96.1 none >96 42-96"5YR 4/6 med s. <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST ii <br /> DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCAES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. p RIOD1 PERIOD 2 PER INCH <br /> P- 46 none 1 <br /> P- 5 5 none 1 <br /> P 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 92.7' <br /> NOTE: NO SCALE <br /> 5T �� aBrt: ELEv. 100.0t - , <br /> ��y ►"� _ - (NAIL IN 16" 04K TRtE 1 <br /> TED WELL LOCA <br /> f , <br /> 30 <br /> L IN <br /> F1 - <br /> G i f4+cs+ 1[8x31° <br /> l <br /> I <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 /> T&M J. FERGUSON 8/27/90 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(o bona((: <br /> HCR 59 BOX 478d sPO0NFR,`ll. 548o1 3669 715-635-74 2 <br /> �!JIGNAJURELJ <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHRSBD 6395(R. 10/83) —OVER — <br />