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DEPARTMENT OFREPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR ANDS PERCOLATION TESTS (115) P.O.MADISON WI 53707 <br /> HUMAN RELAWNS <br /> (I LHR 83.0911) & Chapter 745) <br /> LOCATION: SE TION: TOWN� PIMUUN CI PALITV: OT NO.: LK-NO.: Cn <br /> '/ E '/ /T N/R E (p W N LN f 1 <br /> OUNTY: MAILING ADDRESS: <br /> 15 VR �1114 STRD U—`—K. WE$STER, owl, <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDR COMM R IAL DESCRIPTION: -FROFILE PERCOLATION TESTS! <br /> Residence 2 D<New ❑Replace I (31 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> FDr%VENTIONAL:I <br /> UND: IN- ND-PRESSURE: S E - ILL OLDIN T NK: RECOMMENDED SYSTEM:(optional)YJ <br /> S ❑I $ S ❑II ❑$ ❑S V [ L <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUP DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE,AND DEPTH <br /> NUMBER DEPTH IN.JELEVATION OBSERVED TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- l 72 qS D oNE -2 7Z 0-6'Flans 6- 5SRAms 5S-(WR 15 61- ?ZEomS <br /> B- 7- 72 ,Z AjpAg > 72- o-s$Irns 5-Sb,U4jm 5b- &31K 15 (o3.7ZNms <br /> B-3 75 q%- E X75 6 75F*ms <br /> 13- Z -$ o E >'72 ©- (OVI(5 G- Wp NMs (00- t05 ►Z1s (0S- ]2P,NmS <br /> B- <br /> 7 72- $. 2AIN6 72 o- (08Nms (o— 7z gNms <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATERV -I H RATE MINUTES <br /> NUMBER INCHES AFTERSViELLING INTERVAL-MIN, P I DI PERI D P PINCH <br /> P- 1 O ka <br /> P-2tAo .5 <br /> P <br /> P- <br /> P- <br /> -P- <br /> PLOT PLAN: Show locations of 3ercolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori. <br /> zontal and vertical elevation refer nce 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 /> �^ <br /> SYSTEM ELEVATI N 9S • 3 <br /> ! PR°rOSE <br /> ------ Irl <br /> A _- Q- X11 rr K J. PG. - <br /> - - - nr — <br /> IA ° � � <br /> AC o 5 _ m __ 1 <br /> — --- 11 I5 R - - - - -- - -- 9S� <br /> I, the undersigned, hereby certify hat the soil tests reported on this form were made by me in accord with the procedures and methods specified i the Wiscaniin <br /> Administrative Code,and that the are recorded and the location of t s owledge and belief. <br /> NAME print S WERE COMPLETED ON: <br /> XICNAR HOPK/NS - 1°I - 91 <br /> ADDRESS: IFICATION NUMBER PHONE N MBE (optionall: <br /> 5t-1 glt3 0 6 I <br /> ATURE: <br /> IF <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD4395 IR. 10/83) —OVER — <br />