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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, GG DIVISION <br /> HUMAN RELATIONS PERCOLATION TESTS (11J) MADISON WI 53OX 707 <br /> (ILHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> si 1/4 NW 1% 25 /T4ON/R141a)W SCOTT 2 N/A N/A <br /> COUNTY: MAILING ADDRESS: <br /> BURNETT KIETH MORTFNSEN 1615 23rd AVE. NW NEW BRIGHTON, MN 55112 <br /> I <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: <br /> 66 Residence 2 N/A ❑New ilReplace 9/20/91 - 9/21/91 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: 1N-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:loptional) <br /> I"1S rill CSS UU ES lU nS [XJU FIS lxIU LIFT TO CONVENTIONAL <br /> RATE: <br /> If Percolation Tests are NOT required DESIGNIf 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 ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTI-'IN, OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B 1 72" 95.0' NONE 5"7.5YR3/1 sl ts ,5-27"7.5YR4/4 s1,27-72" <br /> 72�r 7.5YR4/4 fs . <br /> 2 72" 95.2' NONE72" 3 7.5YR3/1 s1 ts ,3-24"7.5YR4/4 s1,24-72" <br /> B- <br /> 7.5YR4/4 fs. <br /> 3"7.5YR3/1 sl ts ,3-16"7.5YR4/4 s1, 16-72" <br /> B- 3 72'! 95.4' NONE > 72" 7.5YR4/4 fs. <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 AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH <br /> P 4 28" none 1 < 3 <br /> p_ 5 710" none 1 < 3 <br /> P_6 33" none 1 < 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 /> �iVOTE : NO SCALE 1 , <br /> f----4,---J ry le- P(en'zt e , 1' 6g.s r .� 11 _ j I <br /> 1 AM V. 1�O10 , ' t <br /> L LOQATEDLI <br /> r , .5 pnno 1 ' ( 1 <br /> 1 ' I , 1 1 1 ( I I ! t i <br /> i � I <br /> r__ ; __ I ` _ 7 7_ __1_ ; a <br /> rii1.,51,,,Aa.,_ i- --4 I <br /> \ ! 1 1 I , <br /> 1 I ? , 3 i ? ? <br /> 1 I I <br /> 1 <br /> 1 1 , / , , , ---r- <br /> ? 1 i i <br /> �. 1 i ? ? E ? 1 s i I I <br /> 1 Z <br /> 1 _ 5 -__F___. .-___._t__ __}__ i. . �._.__�_ 1 _4—._ 1 <br /> E <br /> J <br /> r 8q,?- 6i q l _�_ t 1 --4I <br /> t'i 1JWTE, -JZof►D <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 speci ied 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. i t'Q5f- S4' - Pte?l/ <br /> M & K 11 t C7) �l <br /> NAME(print): SEPTIC & EXCAVATION TESTS WERE COMPLETED efl/ ! <br /> /�Q <br /> HCR 59, Box 478d 9/21/91 I <br /> ADDRESS: , ooner, -148CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> P (7158352801 3669 <br /> STS NATURE: <br /> at .x.,....id.er-,) <br /> DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />