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DEPARTMENT OFREPORT ON SOIL BORINGS AND SAFETY& BUDIVISION <br /> BUILDINGS <br /> INDUSTRY, BOX76 <br /> LABOR AND PERCOLATION TESTS (115) MADISON W153707 <br /> HUMAN RELATIONS <br /> ULHR 83.09(1) &Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> '/ y�/T4 N/R 1 w SCOTT 3 V10 PG 256&257 <br /> COUNTY: ESS: <br /> TITIRNF.TT SHIRLEY H 284=09 N <br /> T H WEBSTER WI 54893 <br /> USE DATES OBSERVATIONS MADE <br /> Ir NO.BEDRMS.: COMMEFIIAL DESCRIPTION: PROFILE DESCRIPTIONS:I <br /> PERCOLATION TESTS <br /> ❑Residence : <br /> ®New ❑Replace <br /> N/A REALESTATE OFF 10/14/92 10/14 92 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND- ESSURE: SYSTEM-IN-FILL OLDING�TANK: RECOMMENDED SV STEM:(optional) <br /> J]S DU DS ®U INS DU DS ®U ❑S`t_JTAU <br /> SIGN RATE: <br /> If Percolation Tests are NOT required DEIf any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: - Floodplain, indicate Floodplain elevation N/A <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN. ELEVATION OBSERVED HE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> 4117 . 5YR3/2 sl tS ,4-16"7 . 5YR4/4 1s , 16-66" <br /> B- 1 74" 98 .6 ' NONE > 74" 7. 5YR4/4 fs,66-74117 . 5YR4/4 med s . <br /> 2117 . 5YR3/2 sl ts, 2-14117 .5YR4/4 ls , 14-74" <br /> B- 2 74" 99 .7 ' NONE >74" 7 . 5YR4/4 med s . <br /> 3117 .5Yr3 2 sl ts , - " YR s , - <br /> B- 3 74" 98 .6 ' NONE '7411 7 . 5YR4/4 med s . <br /> 4117 . 5YR3/2 sl ts ,4-74117 . 5YR4 4 med s . <br /> B- 4 74" 96 .9 ' NONE >74" <br /> B- 5 74" 98 .4 ' NONE > 74" SIMILAR TO #3 <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIoo1 PERIOD P PER INCH <br /> P- 6 37" none < 3 <br /> p- 7 3611 none < 3 <br /> P- 8 23" none <3 <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 /> SYSTEM ELEVATION 96 - 71 AT TFRNiATE95 .4 ' <br /> _ NOTE: NO SCALE _ <br /> BM ELEW: 100 .0 ' <br /> ,NAIL IN g" white pine <br /> WELL TO-BE- -NO LESS- <br /> THAN 50 ' PROM SOIL <br /> LOW 4C AA 7TEST AREA. <br /> L. J�N1 ° <br /> X <br /> N <br /> Co h <br /> r <br /> I,the undersigned, 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 (print): an <br /> TESTS WERE COMPLETED ON: <br /> SEPTIC & EXCAVATION <br /> "n Omit 117AFI <br /> ADDRESS: flLon Out CERTIFICATION NUMBER: I PHONE NUMBER(optional): <br /> Nr, VA 54801 3669 <br /> CST GNATU E: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and 5011 Tester. <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />