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DEPARTMENT OF -REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND P.O. BOX 796 <br /> PERCOLATION TESTS (115) MADISON WI 53707 <br /> HUMAN RELATIONS <br /> (1163.0911) &Chapter 145.045) <br /> LOCATION: ` SECTION: TOWNSHIP/Mb"tLTPALITY: LOTNO.:BLK.NO.: SUBDIVISION NAME: <br /> '/4OV14 /T oN/R/�'(pr)W /e i.. ,G'I� A/A, N 1 <br /> COUNTY: O ER' BUYER'S NAME: MAILING ADDRESS: <br /> 4 4 ji r, 7r I e I r f So. Py Sc- '7 'J14. <br /> Ss 6 <br /> USE DATES OBSERVATIONS MADE <br /> Ony5' NO.BEDRMS.: COMMERCIAL DESCRIPTION: A PR ♦FI DESCRIPTIONS: R ATION TESTS: <br /> IL�YResidence 7 U�'IVew ❑Replace <br /> RATING:S=Site suitable for system U=Site unsuitable for system 1, <br /> CONVENTIONAL: MOUND: IN-GROUND-IIURE: S STEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM:(optional) <br /> ®$ ❑U f�S ❑U IS ❑U ❑S ®U I ❑$ 54U 1 Cu +y') <br /> If Percolation Tests are NOT required DESIGN RATE: <br /> 9 If any portion of the tested area is in the <br /> under s,H63.09(5)(b),indicate: I i I Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTALPTH T GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHESTTO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 7l quo ort'-Z > 7d- al4s a7 " RC78 3y <br /> B- a 8 9 f j .I 7 "B((s /o " Q GR (o S� " IB„ ,y y, r d. S <br /> B- 3 70 417, 1p , I� is syg� , e f z <br /> B '7J 9S, tc 7 7 -)L- Y "I 4 s lotc '' Bn +mom S <br /> B- s 8s q -7 Ys- <br /> B_ <br /> PERCOLATION <br /> s-B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD2 PERIOD PERINCH <br /> P- r7 P O - o s / '3� r <br /> P- 1 Ivo o S` <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 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 9 Y. <br /> o• S�rAL V 4rcn Es'olre ; tl <br /> ruf we e 'Tti it .81 Y'2�"' <br /> AW,­ 'to <br /> l — ( /0 eCier a>"-e' <br /> r t �t�'4 <br /> fjib <br /> ie . �(¢ <br /> 4� <br /> tv <br /> ©© 8 0 <br /> •j/_"yf ��{} � t k <br /> 1,the u dersigned, hereby certify that the so orted on this form were made by me in accord with the procedures and methods specified in the Wisconsin <br /> Administrative Code,and th recorded and the location of the tests are correct to the best of my knowledge and belief. <br /> NPE(P I ): L TESTS WERE COMPLETED ON: <br /> �1 u 11 r�L /l k6. &i'n S // - r 99, <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> LJ-f- kTT r w i r 171c'-166- /So <br /> CS IG R�'J,3_'T :'t <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DI LHR-SBD-6395 (R.02/82) —OVER — <br />