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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 <br /> HUMAN RELATIONS (H63.09(1) & Chapter 145.045) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> GL 5 1/ %4 35 /T 38 N/R15�cCorlw LaFollette na na na <br /> COUNTY: OWNER' W^"gKX MAILING ADDRESS: <br /> Burnett Bob Albrecht Rt. 3 Box 197A Frederic, WI 54837 <br /> USE DATES OBSERVATIONS MADE <br /> ��II NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROF LEDES RI TIONS: ER ATION TESTS: <br /> OResidence 2 na ❑New ®Replace 15/28/85 -�5c/28/85 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUNpD: IN-GROUNDRiESSURE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SVST EM:(optional) <br /> ®S ❑U ©S ❑U ®S ❑U ❑S FAM ❑S x❑U Conventional <br /> If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the <br /> under s.H63.09(5)(b),indicate: na Floodplain, indicate Floodplain elevation: na <br /> PROFILE DESCRIPTIONS <br /> BORING TOTALPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 7211 100.50 none >7211 361' Bn sl, 361' Bn med s. <br /> B- 2 7211 100.90 none >72" 2711 Bn sl, 1911 R-Bn med s, 2611 fs. <br /> B- 3 90" 103.00 none >9011 2211 Bn sl, 1111 R-Bn med s w/gr, 5711 Bn fs. <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME I DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD 2 PERIO PERPERINCH <br /> P- 1 24n none 10 t , t it 3PI <br /> P- <br /> n n it " <br /> P- 3 5r,11 inninp it It <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 98.50 <br /> � I <br /> SpencerinXx. w,, a �" 35 b- �pI���3 <br /> -_�$ _ _ ���S• ,. _ B1"IA s-W UYi)cf- cit a <br /> 400+ri<A ek, 100.00 <br /> S Gni) Well ,.. <br /> tN <br /> i . <br /> I_sri,Itahlc a�ef- <br /> 15°I° <br /> V��I�—Y1Yusf (42 ml n z5'.{mm <br /> ram <br /> aYta-ryro� <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 /> Joan E. Daniels 5/28/85 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> Box W Siren WI 54872 3431 715-463-2333 <br /> CST IGNATUR <br /> D6 ✓ EE:: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DI LHR-SBD-6395 (R.02/82) —OVER — <br />