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Srl-C �7 I d F 01 <br /> DEPARTMENT DEREPORT ON SOIL, BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABORAIJ:7 PERCOLATION TESTS (115)Dxi1i9Rj5Pki9`4`SON WI 537069 <br /> 7 <br /> HUMAN RELATIONS M D , <br /> (ILHR 83.09111&Chapter 145) 04) -?$'�� o� vivo <br /> LOCATION: SECTION: ITQWNqHIPL"" LOT NO.:BLK.NO.: SUBDI VISION NAME: <br /> Nw�/ u/1/ /T? N/RI t (pr) I�oa — _ <br /> COUNTY: MAI LING ADDRESS: crr a'Rt p 6K 1415 j' <br /> evRN47T bAvr rr t, V <br /> USE DATES OBSERVATIONS MADE <br /> ❑ <br /> NO.BEDR .: COMMERCIAL DESCRIPTION: yP FI DESCRIPTIONS: A TESTS: <br /> IZResidence Al A 5ONew Replace I /`;?q 3,.-_g3 <br /> RATING:S=Site suitable for system U-Site unsuitable for system / CJ <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDING T NK:RECOMMENDED SYSTEM:(optional) <br /> ®S ❑U ❑S U WS ❑U EIS ®U EIS �U /a2 �D �bNGEN�oA/hL 96D <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the Al <br /> under s. ILHR 83.09(5)(b),indicate: �� Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTALPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE,AND DEPTH <br /> NUMBER DEPTH IN, ELEVATIO OBSERVED E9T ArG—HESTTO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> O-f0�ry rVioYrQ�Y S Sj/Oily" !o �) <br /> —77 NaN.,7_- 4-gr"ea' y' v <br /> v_ivrr lura ry SL S -ia- y ,c ,f e'c3 i <br /> B- 150 /a(, 15� ' IV o IVe, 7150 - rn v e� BPe N PT tire" ✓ cil S <br /> e gNlgYRS� f—/D Oir to Fu Si <br /> B- 15:2 166,11 Na t- > I f 4- N -is r iv �r rid <br /> q'¢'/,Arts YR 4I 31-14'^ VYJ SIL/- R BN Q/Lt 0 <br /> B- � l3� 07,04 NaAl, 7 t 3z l�- " e ! ^sT /v <br /> Q-J'r, 19410r 0-149 s4 TY-7_;v <br /> B- 0-7 17,2 1�7r08 A/ 17 1 1A C3PINeT if-G 7" N aEAN T <br /> B G7-/3,�°sNre7,rrR5'/)M-' s <br /> PERCOLATION TESTS <br /> TEST DEPTH WATERT HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERI D1 PERIOD2 P R PER INCH <br /> P- l o n L 4Or r <br /> P- 5 I3 0 <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 ELEVATI N q7,147 91141!_1261 <br /> r ✓ s � c <br /> IN <br /> i <br /> l <br /> I <br /> I <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 s ci i iq the Wisc in <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. 0// <br /> _� <br /> Cy/yr Y <br /> NAME (print : I- " -` /- TESTS WERE COMPLETED ON: <br /> W A <br /> ADDRESS: CERTIFICATIO NUMBER: PHONE NUMBER(optional): <br /> 6 k /�. <br /> CST SIGNATURE: <br /> DISTRIBUTION: Original and'apIIIre ca Authority, Property Owner and Soil Tester. <br /> DILHR-SBD-8395 (R. 10/83) -OVER - <br />