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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, � DIVISION <br /> LAB09 AND PERCOLATION TESTS (115) MADISON WI 3707 <br /> HUMAN RELATIONS <br /> (ILHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP OT NO.:BLK.NO.: SUBDIVISION NAME: <br /> !/4 ON !/4 99 /T N/R ( )W <br /> UNITY: MAI LIN ADDRESS: 612-460-6070 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: A I ESTE: <br /> Residence 3 N/A New ❑Replace 03-20-1991 N/A <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURES STEM-IN-FILL OLDING TANK: RECOMMENDED SYSTEM:(optional) <br /> EIS ©U ElSklul ❑SNA 10SEWNSEA IBOLDING TANK - 2000 GAL. <br /> If Percolation Tests are NOT re uired DESIGN RATE: If any y portion of the tested area is in the <br /> under s. ILHR "s s-5)Ibl,indicate: N/A Floodplain, indicate Floodplain elevation: NIA <br /> PROFILE DESCRIPTIONS <br /> P <br /> P H T R UN DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> ELEVATION OBSERVED ST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> 101 .5 ' NONE 8 0-8" B1 cl , 8-24" Bn c w/ccd R Mott <br /> 100. 9' NONE 8 0-8" B1 cl , 8-30" Bn c w/ccd R mott <br /> 100.5 ' NONE 8 0-8" BI cl , 8-30" Bn c w/ccd R Mott <br /> PERCOLATION TESTS <br /> lRNA <br /> DEPTH WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATE MINUTES <br /> i INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 P RIOD2 P PER INCH <br /> N/A <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. NIA <br /> SYSTEM ELEVATION <br /> SCME: r _ 4W Bli DOTTOO Or SM M (EL - SE0"1 <br /> - <br /> I,,1 PROPOSED Ld N <br /> - <br /> HOUSE _S <br /> _ <br /> D3 <br /> -- * _ 12343 <br /> tom WILL TO ,BE >M FROt1 14"I 6 iAMS , <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: // r <br /> REN STRABEL CST SI G NAT : 04-05-1991 <br /> ADDRESS CERT1FjION NUMBER P _ff§Ftp <br /> ll <br /> 7735 AIRPORT ROAD W B TER WI. 54893 JJ�ZZLURE : <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 R. 101'83) —OVER — <br />