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INDUS T Y, OF REPORT ON SOIL BORINGS AN SAFETY & BUILDING: <br /> INDUSTRY, PERCOLATION TESTS 115 BOXDIV7O1 <br /> LABOR AND P.O. BOX 796! <br /> HUMAN RELATIONS MADISON,WI 5370 <br /> OLHR 83.0911►&Chapter 145) <br /> LOCATION: SECTION:- TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. O.: SUBD VISION AME: <br /> 1� 1� 19£30 /T 40 N/Rib E (or) OakCand TownAhlp 3 CS V �. 10, P 109 <br /> COUNTY: MAILING ADDRESS: <br /> BuAnett Kenneth Totzman 24523 GAeenwau Ave. Folies Lake, MN 55025 <br /> USE DATES OBS RVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: TESTS: <br /> ®Residence 3 _____------ ®New ❑Replace A it 0, 1993 A Alt 20, 1993 <br /> RATING:S-Site suitable for system U-Site unsuitable for system <br /> ONVENTI NAL: MOUND: IN-GROUND)HEcSLIRE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDE SYSTEM:(optional) <br /> ❑S ©u I ®S ❑u I ❑S Du I ❑S ©uI ❑S RJu I Mound <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area i in the <br /> under s. ILHR 63.09(5)(b),indicate: Floodplain,indicate Floodplain elevation: N/A <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICK JESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN. ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE AS 3RV.ON BACK.) <br /> 0-811 Dh Bn P6; 8"-29" B ; 2911- n 66 w <br /> B- 1 51" 96.8 None 29" mot 38"-51" Gtf c w R mot cmd <br /> 0-8" Dh Bn t.6; 8"-2111 By Ps; 27"-39" Bn 6-S w R <br /> B- 2 5011 96.4 None 27" mot 666; 39"-50" Gy c w R mot cmd <br /> B- 3 63" 96.9 None 31" w/Rmo 0-611 h Bn Pte; 66311 31GI B 1 - n -me e <br /> 666: <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. PEF310D1 PERIOD PER INCH <br /> P. 1 20" 5 1 3/16 1 118 15/16 5 <br /> P- 9 20" Mono 5 1 1/16 15/16 13/16 7 <br /> P- 3 20" None 5 1 5/16 ___T_1 4 1-1 Tfb <br /> P- <br /> P- <br /> P- <br /> PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicates le 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 percen <br /> of land slope, <br /> SYSTEM ELEVATION 97.9 Scate 111=401 except when noted. <br /> �YEL UW L KE <br /> N <br /> f <br /> f � <br /> 2 _Z� <br /> - 01.4� ] - - 3 B a <br /> _-- <br /> � BM <br /> BM Bo �n�BacPekRP & �RPj- TIP 6 of 4t -e <br /> I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedu as and methods spa led int Wisconsin <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and bel' f, �t5 _ / <br /> _ 11 Y �/1/ (/( <br /> NAME (print): i -a / TESTS WERE CO PLET N: <br /> Wade Ru6zhotm / <br /> i! ApA t 20, 1993 <br /> ADDRESS: I I CERTIFICATION UMBER: IPHONE NUMBER(optional). <br /> 24702 Lind Road P.o. Box 514 Ln, WI 54872 3583 (715) 349-7286 <br /> iyl CST SIGNATUR <br /> i <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHRSBD4395(R. 10/63) —OVER — <br />