Laserfiche WebLink
INDUS DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 5769 <br /> 3707 <br /> HUMAN RELATIONS <br /> (I LHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NA E: <br /> _JA_ '/ 23 /T`f N/R ItoE Ip W O 141<LRND <br /> COUNTY: MAILING ADDRESS: <br /> 1WRoew JIM 1-4 V 3419 TU 90 U O 1 S t I rJT EC, <br /> ni M N . 5 2 2 <br /> USE DATES OBSERVATIONS ADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: DESCRIPTIONS: PERCOLATION TESTS: <br /> ❑Residence 7 ��_ New ❑Replace �. lO - q� n 1D - ��-j <br /> RATING:S=Site suita�bllee forsystemU=Site unsuitable for system I Tt G_ <br /> '" S ESU ES EU IN-GMS ❑U E: SYMSSTEMI❑UL ❑sO LD MU �R001q Vg/'rr-/ONIl L,M.(optional) <br /> If Percolation Tests are NOT required DESIGN RATE: <br /> Q �— If any portion the tested area is in the <br /> under s. ILHR 83.0915)Ibl,indicate: Floodplain, indicis ate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GR UN DWATER-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- I qZ 119 <br /> .0 NO NE > $2 b- G Blurs (o- 3S awns 38' 66(o Krm5 6&-826Nms <br /> B-'Z S� 119 .1 NONE ><gs O- S f31&I-S S- L41-13r4rt1} L+7-- (o.STZMs 61;•SSSwM-S <br /> B-3 S2_ 1 > S7 0- S131Ms 5 - $ZBt4ms <br /> B- `I (00 > (00 O- G 131r+Is (o 3313N41s 33-too KNIs <br /> B-s &0 95 O Node > (o0 0- & 5ims (3. 3'It3NMs 37' (oO RrtiS <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD P RIO P RIOD3 PERINCH <br /> P_ )3/q 9Al 3 <br /> P-2 1TIA3/ 'y <br /> P-3 ZO lyi / <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 eulevation at all borings and the direction and percent <br /> of land slope. I;LT• -se-ALE I r, l D <br /> SYSTEM ELEVATION -96 -3 13.2 131"1 l oo NAIL 10 9 "NDRwwy <br /> �kom SEP <br /> j ( <br /> L ,C�hItjlSorJ <br /> _. _ <br /> LIKE <br /> TN <br /> Pa <br /> � <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedur� d ods s '`GI(t'1e In�t7h/e Wis�c/gnsin <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowl e pe ef. J = 17•I <br /> 7i K lacBa,.�al- ,l7 ' <br /> NAME(print : TESTS WERE COMP ETED ON: <br /> )c Ago FrK/n1s `8 - 10 Z <br /> ADDRESS: �r��-ry^,, �(Qp CER3 & <br /> NUMBER: PHONE NpUMB/ERloptionall: <br /> 2-717(6 <br /> 0 �{W 3� �GO>ICI� �I • JUV 1� CST SIGNATURE: - DCPv- <br /> q 115 <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHA-SBD-6395(R. 10183) -OVER - - _ <br />