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DEPARTMENTOF 'REPORTON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> HUMAN AND <br /> PERCOLATION TESTS (115) MADISON,W1 5390 - <br /> (H63.09(1)& Chapter 145.045) <br /> LOCATION SECTION: TOWNSHINMUNI LPA4HTY: LOT NO:BLK.NO.'. SUBDI VISION NAME: <br /> IT, N/R / lenW !2« s/c / /✓P ,y.4 . <br /> CO/U�NTV: OWNER'SIBUVER-'S/NAME: MAI LING ADDRESS: <br /> .(Suyz',k f �Owc/ �/, Lri.9 .PCR. Gr< O -rsio>z E'09 S7 Le..,s irk>7.ra sS5Ja4. <br /> USE VDATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMM ERCIA L DESCRI PTI ON. IPROFILEDESCRIPTIONS. ER OLATI ON TESTS: <br /> Residence 2 N� ®New ❑Replae L S`z—�y� 5-8 cory <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND IN-GROUNDPRESSURE: SYSTEM-IN FILL HOLDING TANK. RECOMMENDED SVSTEM:(optional) <br /> DU <br /> If Percolation Tema are NOT required DESIGN RATE_ II any pnnron of 11,tested areas In the <br /> under s.H63A9(511b),indicate4Y 6' [Floobplei indlc a Floodplain elevation <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL D PTHTO GROUN DWATERINCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE,AND DEPTH <br /> NUMBER DEPTH IN. ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED ISEE ABBRV.ON BACK) <br /> EF / �0 92s' Ale, >Go <br /> B- el c,o 99 s > Go _ -r":a� s/�- -sv"i� s, s--co"ate ,,,-✓ s <br /> B- <br /> B- <br /> B- 'f 79 /d d. I > ?P o_y.. /3/ <br /> B- `r 7ff /o ' <br /> > >8 <br /> EF <br /> PERCOLATION TESTS <br /> TESL' DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVELINCHESRATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL MIN, pERIQDI ales"N2 I 11.1ml, t PERINCH <br /> P� <br /> P- <br /> P <br /> P <br /> PLOT PLAN: Show locations of percolation tests, sail borings and the dimensions of suitable soil areas. Indicate style or disances. Describe what are the Lon <br /> zonal 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 9,V 0 <br /> — <br /> /(v�ee. Aa SC sir <br /> 'j�—;�f——./!Iv�,—�6X=tI�r4,T• <br /> 1I3F%— <br /> 1i-1l— ' I3N_,// O ( r/T4 <br /> 1i <br /> zc.rOo <br /> 36 —>! mcf � <br /> ' <br /> I <br /> —Li,Alai <br /> I,the undersigned,hereby certify that the sail tests reported on this form were made by me in accord with the procedures and methods specified in the Wisemuin <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 Iptod: ITESTS WERE COMPLETED ON: <br /> ADDRESS'. CERTIFICATION NUMBER: PHONE NUMBERIoptio nap <br /> l� a. %3a 7/ S'�oo•..ez c>.1s syrdl 333 / 76C-2_/ss' <br /> CST SIGN TU E: <br /> her- <br /> DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILH R SBD 6395(R.02/82) - ! OVER ��. <br />