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DEPARTMENT 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 /> (ILHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> V4 V418 /T 40 N/R16 E ler Uaktand Township 10 Pine ridge Subdivizion <br /> COUNTY: MAILING ADDRESS: <br /> BuAnett Doug EdmAds 28798 W. Vetfow RiveA Road Danbury, WI 54830 <br /> USE DATES OBSERVATIONS MADE <br /> rryye� <br /> NO.BEDRMS.: COMMER ALDESCRIPTION: I PROFILEA FT <br /> ES: <br /> In Residence 2 -------- ❑New Replace Oct. 5, 1992 Oct. 5, 1992 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND�PRFSSl1RE: 5 STEM-IN-FILL OLDING TANK:RECOMMENDED SVSTEM:(optional) <br /> MIS ❑II ❑S ❑U ©S ❑U ❑S ©U ❑S 0U Conventionak <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the N/A <br /> under s. ILHR 83.0915)161,indicate: Floodplain,indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL P H T GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED ES . IGHE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> 0-5" Dk Bn P,s; 5"-18" Bn ts; 18"-72" Bn me ,E <br /> B' i 72" 97. 1 None >72" <br /> B- 2 72" 97. 1 None >7211 same as Bi <br /> B- <br /> 3 72" 97.5 None >72" 0-6" Dk Bn R,6; 6"-20" Bn ; 2011-7211 n med. e <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 1 PERIOD R PERINCH <br /> P. 1 24" None 5 2 3/16 2 1/8 1 15/16 3 <br /> P- 2 None 5 2 1 4 2 Ps Z 3 <br /> PJ 28" None 2 5/16 2 1/4 2 118 2 <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 95. 1 Scate 1"=40' except wheAe noted. <br /> l <br /> K--:------------------------ --------App. 457' 4> <br /> � <br /> 3 <br /> _ . __:fie , <br /> I , - -- , - ,Ye 2tow <br /> r P1 4B1'_ "Riven <br /> _... P3A 83 III <br /> BP <br /> 0 <br /> B2`P2 --- - <br /> i <br /> i <br /> BM�IO10.0 BeHchjiOaAk, HRP' 8 VRP;, Top 61 eCe�tnie metelc_ _� { <br /> aPr ngi °Pelee <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 an heli f ,psE- <br /> 9'y50 <br /> f0 <br /> NAME (print): TESTS WERE COMPLETED ON: <br /> Wade RuUzhoPm UetobeA 5, 1992 <br /> ADDRESS: t: CERTIFICATION NUMBER: PHONE NUMBERIoptional): <br /> 24702 Lind Road .U. Box 514 SiAen, WI 54872 3583 (7151 349-7286 <br /> CST <br /> SIGNATURE: <br /> �/(/tscYc Jar <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> D I LH R-SBD-6395(R. 10/83) —OVER — <br />