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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND, C P.O. BOX 7989 <br /> PERCOLATION TESTS (11J) MADISON,WI 53707 <br /> HUMAN RELATIONS <br /> (ILHR 83.0911) & Chapter 145) <br /> LOCATION: SECT ON: TowNSHIPIMUNICIPALITY: OT NO.:BLK.NO.: SUBDIVISION NAME: <br /> 6c '/ 5 Y4 /TVON/R ISE ( r)W sc tl. ! • 1�� <br /> COUNTY: ,� <br /> MAI LINU ADDRESS: <br /> 6alwTr til <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMR IAL DESCRIPTION ��ff 1 I E TS: <br /> Residence N ❑New I2SlReplace <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONYENTIO❑NU . MOUN ❑0 IN G9S ❑U E: SVO S I®U L ❑�G TANK: RECOMMENDED (optional) <br /> L&ercoll DESIGN RATE: I�j�7�1JYn CA�darea <br /> If Percolation Tests are NOT required A, If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: VV 4 - Floodplain, indicate Floodplain elevation: <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 HET TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) <br /> B_ N I ti'pFL� g� . d+t d[.S�1S ,6 " -2S1 2cf>r 3� . <br /> B- 2 8 y �y;�.t �`�y 8L- `_ 5 d tr f ILS �/3�- <br /> B_ ��r �lJ� � `1b NtSCIs 8AS <br /> B- DN 1 ��tr 1�LSL'Is L7` l'�r5 . <br /> B_ <br /> PERCOLATION TESTS <br /> L EST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHIES RAPER INCH ES <br /> f NUMBER INCHES AFTERSWELLING INTERVAL-MIN. p RIODt P RI D PE IU03— <br /> P- 1 y N1.= r7^ tl tt( <br /> P- <br /> P- • ( t <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 elevation at all borings and the direction and percent <br /> of land slope. <br /> f Dh/) C�zs ppoLt /�C`}iCI L^71 <br /> SYSTEM ELEVATION <br /> i <br /> _ <br /> ` <br /> Bd?1.10RI D t L _ <br /> i <br /> r To °F cH— <br /> //DtH <br /> -a } <br /> I <br /> I { <br /> Y–' <br /> ' I <br /> I <br /> I <br /> I, the un ersigned, 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 (p TESTS WERE P ETED ON: <br /> COo�4L Ron, _ 2 ?z <br /> ADDRESS: CERTIFICA 10 MBER: PHONE NUMBER(optional): <br /> �1 3 Par /�C� �9n wj - S� 83 v � - <br /> C� NAT C <br /> C <br /> DISTRIBUTION: Original and ane copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R. 10/83) –OVER – <br />