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DEPARTMENT OF <br /> INDUSTRY, REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS LABOR AND DIVISIONPERCOLATION TESTS /115P.O. BOX 7969 <br /> 1 <br /> HUMAN RELATIONS 1 / MADISON,WI 53707 <br /> (ILHR 83.09(1)&Chapter 145) 31fj_ 556"3Ss) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY; LOT ,I I BLK.NO,: SUBDIVISION NAME: <br /> W!/4 ,`J V4 36 /Tq) N/R 1b E(.,9 RT <br /> CSnt u; i a <br /> COUNTY: <br /> MA LING ADDRES . <br /> J2 E 2850 DAKGRES7 DK•I�UBUQUE Zq . 5 00l <br /> USE <br /> NO.BEDRMS: COMMER IAL DESCRIPTION: DAT ES OBSERVATIONS MADE <br /> Residence ^ PR FI <br /> New ❑Replace ONS: R ATI N TESTS: <br /> `1 . 10 - 93 �f l0 93 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ON VENTIONAL: MOUNpD: IN GROUND-PRESSURE: SYSTE(p�M-IN-FILL II IIINGI�TyA�NK:RECOMMENDED SVSTEM:(optional) <br /> S ❑1 of Eiu ®S EU ®J I IS MU r <br /> cry 1 Il <br /> If Percolation Tests are NOT required DESIGN RATE: <br /> under s. ILHR 83.09(5)(b),indicate: (--�� I If any portion of the tested area is in the ,� <br /> 11 Floodplain, indicate Floodplain elevation: NA <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL PTH TO R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED S . <br /> GHE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 5 1`1.9 NONE ? 7S o -� �"`S �1 ' ��t SIS --1 13w wt) <br /> B- ' Z- ( .5- l03 0 B M 7' S1� rTs (.- 3 Dwrvtj 43- -I?- 5wwU <br /> B 3 72 17.5 NOnI o- 1.45NMS <br /> B- y �� 7. 6 NOME x '12 ° "1pi(rA) '"l- 0 ryls - '11 Barns <br /> B 5 ?2 4. 7 <br /> NoN� 6 D' l l3t*ns -V ms t, - 1t arw �R�.1 n1 <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WgTER LEV L-I <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. NCHES RATE MINUTES <br /> PERIOD 1 PERIOD P PER INCH <br /> P ( N D T/y <br /> P. 2 20 <br /> P 3 D 5 ��� j <br /> P- <br /> P. <br /> P_ <br /> PLOTPLAN: 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 /> ♦$M 10014PIL D4 I?-D1Rck}_ <br /> rp y <br /> A2OPDSED - — E R'NBi!PRI <br /> w �,.1EIt `th ?3E >S4 FRr<M BEO._ I <br /> gLOG �� LIKE <br /> - 3 w <br /> , <br /> 77 1 <br /> 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and elhods specified Int Wisconsin <br /> Administrative Cade,and that the data recorded and the location of the tests are co act to the st of kno edge and belief. <br /> NAME (printl: /.ZKICHAPt? <br /> ESTS RE COMPLETED ON: <br /> ADDRESS: <br /> 7Mlob NWY 35 <br /> 5 Wf$STCR 01 . ,5q893 CER3TI KATION UMBER: PHONE NUMBER(optional): <br /> O CST � A0TURE: J <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DI LHR-SBD-6395 (R. 10/83) —OVER — <br />