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DEPAR ENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTIVISION <br /> LABOR PERCOLATION TESTS (115) P.O.P ° BOX 7969 <br /> HUMAN TIONS MADISON,WI 53707 <br /> (ILHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: OT NO.:BLK.NO.: SUBDIVISION NAME: <br /> /� '/45£ '/ 2(0 /TSN/RI(9E1q EE o R <br /> COUNTY: MAILING ADDRESS: <br /> nl Anl 2552 Rg LPH -51. 23EMi`I.1­55110 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMER IAL DESCRIPTION: Q �t TESTS: <br /> Residence 2 �� ❑New Replace I � _ I — J I '"l_ 9 —q <br /> Q <br /> RATING: S=Site suitable for system U=Site unsuitable for system / 1 <br /> p❑STI N� (vl LIS EA 1N GJZ ❑� E� SV❑� :IN-FILL O SOLDI G 71U . _'IM GRO SYSTEM:(optional) U <br /> ® Te N JZ <br /> RATE: !V Il G. <br /> If Percolation Tests are NOT required ^ If any portion of the tested area is in he �� <br /> under s. ILHR 83.091511 b),indicate: / Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL I DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIG E TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- ) ` ,a 19(o, I nloNE 7`j 0 -(p311s &_ -?Ll51"Wns 74 ?� swlZclnApo� <br /> B- 2 (eO 9 q.3 NOINE 52 S2'BIims 52-00 Q,Nrhs u R�wta Ihe—ir <br /> B- 3 7B , I 7S- o (,311 C� �ST3Nms '7S - 7�S3Nm5 WTlarndmol�' <br /> B- <br /> B- <br /> ---------------s- <br /> PERCOLATION TESTS <br /> ITEST DEPTH WATER IN HOLE TEST TIME D IN WATER LEVEL-INCHES RAPER INCH ES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. P RI DT P RIOD 2 <br /> P. ) 3 rlo �� /57gN <br /> P-2 3/8 %c <br /> P-3 0 <br /> s/ <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 /> C t M I�ZIV� r <br /> SYSTEM ELEVATION � 3 - � ---�— <br /> I <br /> y20�T <br /> —d �) <br /> A 15_M1oo-t� of l015T, _ , <br /> BLn� { <br /> FIRS .I w60 Isl, <br /> ❑ NN <br /> PIKE- 8EN1? 'RD,• <br /> - , - - - <br /> i <br /> I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the proceduresand methods specj(ied Irk,V#5F-sm <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. O 9A(00 <br /> NAME (print TESTS WERE COMPLETED ON: <br /> FICHR� HDPKIA6 -NE 7- - <br /> ADDRESS - --1 IFICATION NU BER: PLiONE UMBERIoptionall: <br /> W ST�E2 W1 • 8�3 ! U b' 1 <br /> GNATU E: <br /> DISTRIBUTION: Original and one copy to Local Authority, PropertyOwnerand SOHO-Tester- _ <br /> DILHR-SBD-6395 (R. 10/83) �.OVER — <br />