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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INb UST,R V, � DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 <br /> P.O. BOX 796 <br /> HUMAN RELATIONS <br /> (ILHR 83.0911) & Chapter 145) 6 029 C00Y' L <br /> LOCATION: SECTION TOWNSHIP/MUNICIPALITY: LOT BL .NO: VI7 NAME <br /> / Z, TON/R1E (o OnK // 0JCS( (o <br /> COUNTY: MAILING ADDRESS: : <br /> Ett 90agr xmits 6601 HQyLfA •R - S <br /> USE DATES OBSERVATIO MADE <br /> NO.BED RMS: COMMER IAL DESCRIPTION: 111r��/// FILE IONS: PERCOLATION TESTS: <br /> ❑R¢sidence Z �_ ❑New L1QReplace I /p -Z3 - 93 10 - 7-3 -53 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> OR STI❑1 : MZJ SPUN :❑U IN-G�S E' E: S�S I❑U L O� :R/ A&A WfI'L ECOMMENDED SYSTEM:(optional) <br /> If Percolation Tests are NOT required DESIGN RATE: <br /> Q ^ If any portion of the tested area is in the ,r/� <br /> under s. ILHR 63.0915)(b),indicate: 1 Floodplain, indicate Floodplain elevation: A /7 <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTHTOGROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED ES - HE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B ) �Z q� NONE ) ']Z O G 8111 6- '/Z$Nms <br /> B Z �� 7•`� NDN o- 1 Mill -T- (nbBofyu <br /> B- 3 60 M-9 NOn/E > (00 0 60 3wvn s <br /> 13- <br /> B- <br /> 13- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. pE RIO 1___ PERIOD p PER INCH <br /> P- 30 o 5 I' 3 3 <br /> P- 2 2Je Aro $ I MR Y2 I k <br /> P- 3 ZD NIT Z '/i1 13i c <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 S.z <br /> FIRtS61 <br /> FH4K _ <br /> LAKEN <br /> 37. <br /> �3D CDNc."11NJ K —q O <br /> 04 <br /> � I <br /> Wq <br /> I,the undersig ed, hereby certify that the soil nTrrMT6ffTT 3n this form w to 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): _ TESTS WERE COMPLETED ON: <br /> IC-HH IID HOPKI S lb - 23 - Q <br /> ADDRESS: CERTIFICATION NUMBER: P ONE NUMSER(optional): <br /> 1f <br /> 0 3S 6BSM' . ' 4393 3670 -SG6 / <br /> C51,SIGNATURE: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. `pp✓+- <br /> D I LH R-SBD-6395(R. 10/B3) —OVER — <br />