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DEPARTMENT'OF REPORT ON SOIL BORINGS AND �/I�SAFETYY-& UILDINGS <br /> INDUSTRY, C DIVISION <br /> LABOR,ANDBOX 76 <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> (I LHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: TOWrAIL;I�N�GADDRESS: <br /> ITY: LOT(NfO.:BLK-NO.: SUBDIVISION NAME: <br /> '4 % 1,g /T N/R 14 E (or ! G.Lsd7 C.SM V I I Fl 7�0 <br /> COUNTY: <br /> B R 8 <br /> USE IDATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: R TONS: PERCOLATION TESTS: <br /> Residence /) ��_ ®New ❑Replace I I I,/[_ p3 JI- q - 53 <br /> I- q - p J <br /> ? <br /> RATING:S=Site suitable for system U=Site unsuitable for system I -7 1 -7 1 <br /> ONVENTIONAL: M�OC7U�ND: IN!G�ROUND-PR�ESSURE: SYSTEM-I�LL ❑LDING T9�NK: E^OOMMENDE�D SYSTEM:(optional) <br /> S ❑U ®-S ❑U IL�I�JLSSS ILC l <br /> If Percolation Tests are NOT required DESIGN RATE: <br /> Q If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: Floodplain,indicate Floodplain elevation: N� <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN. ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B b r NONE �y 0- 88IMS 8- (o`PBrrms Gq - (or Ajins0RandmaTf <br /> B- • 1 AIDJE (0R o—CIBhru 9 - Co9 gNmS (99 - 7z&/ns w Kr_MC� kf' <br /> B- 3 '1 Z (09 0- 181ms 7 -(,�$nnns �� '�ZBNmsarl2�mdmott <br /> B- `l (pG `�� . E -161x11 1- (o!o $Nms <br /> B-S �Co S a o- S 3145 8-Sq VIAS59 <br /> 5�i - (ob B�tMs wRu►ad matt <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. PE RIDD1 P P PERINCH <br /> P- 1 No Zx L <br /> P- S 1% 's <br /> P-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, 11 <br /> SYSTEM EL VATION q5.9 <br /> KIM PA <br /> �,a <br /> �5 �! <br /> • w l i .. ..� <br /> C Y <br /> ( I <br /> Am <br /> __ <br /> ' TN <br /> L <br /> a .. _... e ........ <br /> , <br /> I � — <br /> }t� s <br /> , <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures an cifie I i Wisconsin <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belie9 <br /> r <br /> NAME(print): TESTS WERE COMPLETED ON: <br /> I4- I- q - 93 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER optional): <br /> 2 a NwV 35 68srl5W1 . Sq8 3G a <br /> CST G ATURE: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-8395 (R. 10/83) OVER — <br />