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DEPARTMENTOF REPORT ON SOIL BORINGS AND SAFETY & B DIILDINGS <br /> VISION <br /> INDUSTRY, <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 <br /> HUMAN RELATIONS <br /> (H63.09(1)& Chapter 145.045) <br /> LOCATION: SECTION: TOWNSHIP/MUFO H6FPREFFY: OT NO.:BILK.NO.: SUBDIVISION NAME: <br /> .5r1/45t--4/4S /Tye N/R/ E-(,o W SCo <br /> COUNTY: OWNER'S 941:16 SidfiiotE: MAILING ADDRESS: <br /> E7 E R R-5_9EP gf. % A30XsMIUz3aley /tw s Y 3a <br /> USE i DAT S OBSERVATION MADE <br /> 14, NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFIL DE RIPTIONS: ER LATI N TESTS: <br /> Residence 141` El New Replace Sz Q3 S/2�F3 <br /> f/ �—T <br /> RATING: S=Site suitable for system U=Site unsuitable for system <br /> CCONVENTIO❑NAL: MOUjVD: IN-G�� P❑�RE: SY❑� I��LHO❑LDING TANK: RECOMMENDED SYSTEM:(optional) <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the /V+under s.H63.09(5)(b),indicate: 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.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> 5 rI <br /> B- / �2 yq 00 �'ON - > �Z `� Q <br /> B_ 99 oa r, 6 �l y"i3� 07 s 60S'l c s <br /> B- 9 "/1154,�,, , 6 g ''ac m� 6 y "Q.1 cs <br /> B- `/ 05 /00 'vo l c� Y "r3L <br /> B 5 �'/'/ r � '' 7�j y�/�� �tr05 �Y�'�H �S <br /> 6 71 <br /> 0" `y '' <br /> /0/ 7- v y,(,�� ,�,� s 76 „404 C <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERI D 1 PERIOD 2 PERIOD PER INCH <br /> P- I 04)1 <br /> P7 - Z *tl 2 2 2- <br /> P- <br /> P- <br /> P- '2- Z / <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 <br /> Fla <br /> o 0 <br /> a7b, F _{or211 <br /> IN <br /> p� Py P yy' 14ct SE <br /> IL <br /> i <br /> otL !AJC <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(printl: TESTS WERE COMPLETED ON: <br /> aFti s -5 2 <br /> ADDR S : CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> l ug Sl GEIS Sof /s86 <br /> CST SI AT E: n <br /> DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. , <br /> DILHR-SBD-6395 (R.02/82) —OVER — <br />