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PARTMENT OF _REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> JDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 <br /> HUMAN RELATIONS (1163.0911)& Chapter 145.045) <br /> LOCATION: SECTION: TOWNSHIP/MMlrMYIPMrtf9-V: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> NW )/'c1/ <br /> COUNTY: OWNER'S Bk Vft"40 AME: MAILING ADDRESS: <br /> L501 TD F R ELL sTAIP ,021. F//5514" GU S. s5'8 3 <br /> USE SCO 7-(9WV5/f/ DATES OBSE MADE <br /> NO.BEDRMS: CO ER AL DESCRIP N: PROFI ESI IPT10NS: ER ATIONTESTS: <br /> [-]Residence3 T �� To ❑New ARaplace <br /> g /3r0 bom A T• 7 ' <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIO❑NAL: MOUND: �Y IN-G UN URE: SY <br /> TEM-IN-FILL HOLDING T,A,NK:RECOMMENDED SYSTEM:(optional) <br /> U <br /> xIfPercolation Tests arIee NOT required DESIGN RATE: S U If any portion of the tested area is in the <br /> under s.H63.09(5)(b),indicate: Floodplain,indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL D PTH 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 /> B- <br /> B_ <br /> B- 2 a fD2 / t/ > <br /> B-3 66 {oz" 146 "B1 - 62"roti m - s <br /> B- rf/ /03 ` I/ 71 '' 141 /gym 67 ryE s <br /> B-S' 70 102"10, If 741"i3,[ M"5 "B •� a <br /> B-� '72 �3`/" i/ >- 7zy "/3[ 1 Wt05 68`l/3n owe7os <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTER SWELLING INTERVAL-MIN. P RI D1 PERI o2 PERI PERINCH <br /> P_ <br /> P- '" 'L2 <br /> P- <br /> P_lL <br /> P- 1 1 'L <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 they location on the plot plan. Show the surface elevation atallborings and the direction and percent <br /> of land slope. /D z1T p x� -TIU Qa ioc — . -6 OUN40-- )at/`tSSWT <br /> SYSTEM ELEVATION /O0 '2. " <br /> r9't,N � _ 'REh'q/L5 /�! �1,t!lPP, tfRP, s�_Qt7RNFR <br /> ' PUTPoS' B.9rt �,77adsrOF sr0/rvG <br /> ^ �$cD ash ri4/<//Ubf y <br /> A, <br /> SCl37T TOw/lrstl�Pv PoP � bil1Tr`1 E3�€RR£t1 211`x 48_' I N <br /> 3 AcRrs :,R/Rok �i 0 „ �'v� • �//59 a'see9dko— ` <br /> _ . y _ <br /> Bi o 4 Fs� a 8s' <br /> u <br /> P30 <br /> of o e db ' PE �fAaG r�7�NT R�C�u[h F� <br /> 97 <br /> Sk 7Orlit�siJ7P Ful N6 .vF_J� Stf�O <br /> 7Ua/IVr14j.I.- f7PoPE,¢'TJ! _r__ -- <br /> II { Al�'Rok'/ <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 COMPLETED ON: <br /> ADDRESS: CERTIF CATI NUMBER: PHONE NUMBER(optionall: <br /> Gel S F Cv S. �� r� 3 /S�'� '/is-%6--41 s-s <br /> CST SIGN UR <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R.02/82) OVER — <br />