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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND <br /> P.O. BOX 7969 <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> / <br /> C/. � u d (H63.09(1) &Chapter 145.045) <br /> LOCI'/4E SECTIoO�� r/oN/R/(�IOr)w T0©SHIP/MLiiYY iV: OT NO.:BLK.NO.: SUBDI VISION NAME: <br /> C UNTY: OWNER'S Y NAME: MAI LI NaG/ADDRESS: <br /> u� sa eso^/ 66a D a/a/ �o� E4 a„� �NN ---/23 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: MR-0-71E DESCRIPTIONS:IPERCOLATION TESTS: <br /> ❑Residence MO /I // ti. ®New ❑Replace <br /> RATING:S=Site suitable for system U/=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> ®S ❑U ®S ❑U ®S ❑U OS S . ❑S EX <br /> If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the <br /> under s.H63.09(5)(bl,indicate: AIA Floodplain,indicate Floodplain elevation: �A <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 /> p- P a/rn '75", r-r1 Ra,-M r/, /F- y6 k�nS <br /> B- l 7.4� ,jf Vo AJ 7f 7 411- i-o CSJ So-7.r ms <br /> B- 2 72 95;9 AlJnJE o-ZBlr; �� 2 y LF&VN1s3: / p-:T7 /3.vrrrS, <br /> 7� -SaZ RE r/SL V - 7 C S. <br /> // / 73 If,> S/P9 60 s,'/ 9 6'r /Y6cM7fi0n-rr/� RAS/ <br /> B- -3 77 96. a o Nc ,✓ E . , <br /> 9J, v� <br /> -/0 611 /o - xsr9w •yis/, .2y��Rni <br /> B- 70 i9 Na AlNE d6 'V -Le $A, g - o Rti C _rw O- I" / <br /> B- S17- <br /> r-> /1/ oA/ f D/ rh.� C S 9 /ARB . /s, Pvsr �am� 7 <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 PERIOD -PER I o PERINCH <br /> P- / /rO /p _I Z c7 f, <br /> P- 2 36' N 0 /D Ly /All / � 16 <br /> P- 3 3 No �o <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 horn <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. J'BUD / to//,t s-40.r <br /> SYSTEM ELEVATION 93,E 0 93•� • • s' : 9a� ° <br /> 3ba r <br /> f, <br /> 14-4 <br /> � <br /> a'ao%y <br /> �/ p / 44�✓�— 1 p <br /> pp l /J <br /> .!*I, get. t7.° ' <br /> blam 4- VRrT. ; <br /> 742 <br /> di, tN <br /> Q - (� ►- � _ _ � f �y � mss-_ _ A_ _ <br /> o - P-eMc <br /> 140a <br /> tj <br /> I I 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 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(print) TESTS WERE CQMPLETED ON: <br /> AF U1Q r sTPI - 89 <br /> ADDRESS: D ` CERTIF CATION NUMBER: PHONE NUMBER(optional): <br /> j._.rc1-71j' -1 _ 73 <br /> Cy <br /> NA RE: <br /> jtt <br /> '-91BUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> 9395 (R.02/82) -OVER - <br />