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DEPARTMENT-OF _ REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, C DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 <br /> BOX 76 <br /> HUMAN RELATIONS <br /> (H63.09(1)& Chapter 145.045) <br /> LOCATION SECTION: TOWNSHIP/Mk/MfCIPAL�fV: LOT N0.:6LK.NO.: SUBDI ISION N <br /> SSE 1 a 1/ a /T9ON/RAE (or,W Ta e fTso n 16 'e v l ra ' <br /> COUNTY: NER'S BUYER'S NAME: y— MAILING ADDRESS: <br /> OW <br /> heron 1) s / ry t <br /> USE DATES OBSERVATION MADE <br /> 5f <br /> NO.BEDRMS: COMMERCIAL DESCRIPTION: PROFI E D QR TIO S: AT O�jN TESTS: <br /> 5 Residence 2 New ❑Replace •S" s 4 / s• y <br /> RATING:S=Site suitable for system U=Site unsuitable for system �P V <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE:[SYSTEM-IN-FI LLHO LDING TANK:RECOMMENDED SYSTEM: optional) <br /> [ZS <br /> ❑U EKS ❑U ©S ❑II ❑S ®1.1 ❑S ®u Co k/ d, <br /> If Percolation Tests are NOT re wired DESIGN RATE: <br /> Q If any portion of the tested area is in the <br /> under s.H63.09(5)(b),indicate: I Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK) <br /> B ! o-�{ 1 s /bCr 4 0 <br /> 1 g NOhJ P > Vv 3e'= �-. �s <br /> B- a- �0 0 y " 7 �O °a� "BFo" 3"- /7 Y S 17 - a s�avv <br /> 0-34, <br /> -3" 1i:f A y s <br /> t \ 0-s " awkr 3 =17 �/<S .n ov <br /> B-W ys ! aD > fs' 'a Ys-" C S. <br /> 4 ", 16 yt,r j7V Z G .nv2 <br /> B-j 7t3- 9b,S > ?oL 3v _ Rc s <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERI OD2 PER PERINCH <br /> P 140 / 3 3 <br /> P- 191 a t/� .2 / <br /> P- l AJ'O 10 S / 3 / 7 <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 distar ces. Describe what are the hori- <br /> zontal and vertical elevation reference points and show their location on the.Wt t plan. Show the surface elevation at all borings and the direction and percent <br /> of land slope. <br /> SYSTEM ELEVATION <br /> N,IL iwT"fLC _ <br /> 2r_e CL <br /> - •m o <br /> ti N <br /> Ph <br /> Ir <br /> sC4 �e 9 "- d{�1 ov Alt. Awk <br /> e t$0' <br /> -/v eTe <br />