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�OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> ,y, DIVISION <br /> .. PERCOLATION TESTS (115) MADISON INI53707 <br /> HUMAN RELATIONS <br /> LOCATION t SECTION. TOWNSHIP/MUNICIPALITY: LOT NO.:BLK NO.: SUBDIVISION NAME: <br /> �WN4 y /T3 N/RJ` B!or,W <br /> COUNTY: OWNI, 'S BUYER'S NAME: AILING ADDRESS: <br /> svI,n S yron b v' % -1 �e CA 4- o 11r lu Sc. <br /> USE DATESrOBSERVATIONS MADE <br /> NO.BEDRMS.: COMMER IAL DESCRIPTION: ESTS: <br /> ®Residence <br /> New ❑Replace Gr/ _ _ 1' y _ � _.� <br /> RATING:S=Site suitable for system U=Site unsuitable for system d` <br /> CON TIOHS MOes El� IN-GR�ODUN6O URE: S1 1 ❑� I� ❑�GT RECO�ENCDn STEM (optional) <br /> If Percolation Tests are NOT <br /> equired DESIGN RATE:S MMLEV.I If any portion of the lot is in the <br /> funder s.H63.09(5)(b),indicate: I Floodplain,indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> 3OHING fOIAL ELEVATION PTH'TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,CO R, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, OBSERVED EST. I HEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON CK.) / <br /> -76 �n � 6 fetid <br /> B u 7 Iv r'69 /C ' S1 7L <br /> C <br /> B-q q I > I c) /' S ', s b ', <br /> L <br /> r< ' <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER-LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. P RIO t P RI D p PER INCH <br /> P- <br /> P- <br /> P to 0 - <br /> P <br /> P <br /> PLAN VIEW: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or dista ces. 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 borinj s and the direction and percent <br /> of land slop. <br /> SYSTEM ELEVATION <br /> �e he <br /> ��s �� 'Q r`�°�c � � •�� I.._� n l u x � � ! F- � 0' � –�j � r�f'rr /l <br /> V D S d <br /> r) 7o <br /> 1 rl <br /> 10 7' <br /> Nl <br /> �(Q rbc (k <br /> r <br /> 01J c rl 110 r d 'L' rq S 1 4 06)", f GL <br /> kckd cc <br /> I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures me hods specified in the Wisconsin <br /> Admimistrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. <br /> NA prin) I TESTS WERE COMPLETED N: <br /> QJ � n r - a / - 8 <br /> DRESS: CERTIFI ATION NUMBER: PHONE NUMBER optionall: <br /> �3 7/s-� b- yir <br /> OMA NA URE: � <br /> -�2 <br /> DISTRIBUTION: Original-Loca!Authority,2nd page-Bureau of Plumbing,3rd page-Property Owner,4th page-Soil Tester. ✓ '� <br /> D I L HR-SBD-6395 IN. 031671 <br />