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REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> DIVISION <br /> Y ; _ P.O. BOX 7969 <br /> �' PERCOLATION TESTS (115) MADISON,WI 53707 <br /> LPITJONS (ILHR 83.090)& Chapter 145) <br /> C <br /> TOWNSHIP/MUNICIPALITY: O7 NO.:BLK-NO.: SUBDIVISION NAME: , IA}S <br /> 1/ 1/ /T N/R ►6E (p OAK 12 I0E2 PI M IF <br /> COUNTY: MAILING ADDRESS: <br /> uRNE[[ R K o <br /> DATES OBSERVA NS MADE <br /> USE �Q S: <br /> NQ BEDCOMM R AL DES RIPTION: <br /> �Aesldenca -3RM& ®New ❑Replace L1 I 1 - I . <br /> RATING:S-Site suitable for system U-Site unsuitable for system <br /> O®�T❑�, ryf �, O IN-Gul ®� ❑� E: S S❑TEM-IN-FILL O❑�G®� :REOwENDED SYSTEMaoptional) <br /> If Percolation Tests are NOT require DESIGN RATE: I If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: '� Floodplain indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL H T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- ► 7- 06 A09E0 S- 3'0Rl 31- 1261 <br /> I Al > ?2 0 ms - q 2' KfAS Z 2$Nn s <br /> e- 3 '7Z �• o >72 -5 ms D y D - Z <br /> B- -t -12- ,$ All <br /> ffB <br /> '72 $ p PERCOLATION TESTS <br /> DEPTH WATER IN OLE TEST TIME D I WA R L V -IN HES RATE MINUTES <br /> TEST -NUMBER INCHES- AFTERSWE LING INTERVAL-MIN. I O1 RI D P PER INCH <br /> 140 Zif <br /> T/f <br /> P <br /> T/ <br /> z G <br /> p- <br /> p- I <br /> PLOT <br /> -P- <br /> PLOT PLAN: Show locations of p rcolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori. <br /> zontal and vertical elevation referer ce 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 �5 <br /> __ _ _ _AL. _- ,t o u SIII _- ► _ _ _ <br /> tN <br /> 1, the uncle signed, 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 c are recorded and the location of the tests are correct to the best of my knowledge and belief. I,5- Z6�af�.� 9�Y, <br /> [AD <br /> E print TESTS WERE COMPLETED ON: `( <br /> RESS: CERTI KATION NUMBER: PHONE NUMBER(Optional)' <br /> 5 W s 3 0ITS <br /> CST SIGNATURE: <br /> . <br /> DISTRIBUTION:Original and on copy to Local Authority,Property Owner and Soil Tester. <br />