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DEPARTMENT OF, - REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> DIVISION <br /> INDUSTRY, __ --C- - <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 <br /> HUMAN RELATIONS <br /> (ILHR 83.09(1) &Chapter 145) <br /> LOCATION: SECTION: TOWNSHW)WA+W10 FAtf•F1': LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> 5014 SO/ aS /T391/R/SE .F � / <br /> COUNTY: OWNER'S .— ,, MAILING ADDRESS: <br /> 460OC't f JAMES &4&1,44) L S7. LOU/S &WN <br /> USE DATES OBSERVATIONS MADE Jr / <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: �I ❑ PROFIL DESC T ONS: ERCOLATI <br /> 2 1 N T STS: <br /> Residence 9 )fl New Replace pp/v3 <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 /> XS <br /> ❑U ®S ❑U gS ❑U ❑S 6U EISMUleafeep <br /> DE <br /> If Percolation Tests are NOT required SIGN RATE: If any Porton of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: oll Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTHTOGROUN DWATER-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- 77 7 JJV 7 7"B s/ d S" /,-Cd V W67,& <br /> S- 9- 0 .S -' NONG 73 "B/s e 7 '&S "BHS ry MCd X l <br /> B---? 79 /M. 7S "9/ 5/ 6�'B�S a d Ir eT <br /> B- 7D lea 'x/ s/ IS/?S „Bhs w ceL a . <br /> B 5' 7? /66.76- NONirr 76- "Ah S 3' a ecd <br /> B- G 77 10/•67 41045 7,1 781s/ 4-5— ,s S'" s � ecl <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PEFIODI PERIOD PERIO PER INCH <br /> P- / 1 A y -e 3 <br /> P- a37 NOAJr-- 43 <br /> P- 111041E J- it <br /> P- it <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 ELEVATION <br /> SANS �A RCIAO 6M SCALE - JBeock = /0 ` <br /> u 't o RAI - r or PJPE <br /> 136'( A1E Colo ie -EL !00` <br /> A�P11 � ,O � <br /> 1 /3 B3 1 <br /> nA'; ',� ' l7 Sufic BoR/N�S <br /> �AF4 �N <br /> SEP "i,,, <br /> PRS° 4 free lsn <br /> [60 /JELc to /3E >SG' <br /> Ftem OC4oNF/E4D <br /> A6 sA•ND i-AKG <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 WER COMPLETED ON: <br /> ADDRESS: CERTIFI AT 10 NUMBER: IPHONE NUMB ER(optional): <br /> ,06'r - 33.1 <br /> CST SIGNAT E: <br /> L <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />