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TOF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY,RY, _ <br /> INDUSC DIVISION <br /> BOX 76 <br /> HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> (ILHR 83.0911) & Chapter 145) _ 2010 <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: 9HB9FY�6�9HydhNlE: <br /> roc sE'4 2S /Tyo N/R 1 jE 1pr D — — OCEES <br /> COUNTY: MAILING ADDRESS: <br /> D S co. Ro. cW31-69 , w( - SY8g3 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMM ER IAL DESCRIPTION PROFILE DESCRIPTIONS:IPERCOLATIONTESTS: <br /> Residence Ll �� ❑New ]Replace I q- 70 - 97- q - ry Lq- pmt <br /> RATING:S=Site suitable for system U=Site unsuitable for system "' 'T _1 _C 1 L <br /> OEN <br /> NNV STIOUONAL. MN SD: OU INGVISRO(JN ❑� E: SY S ❑U <br /> ILFI❑S ®UC0NVENTIO AL <br /> G .RE .loptionall <br /> If Percolation Tests are NOT required DESIGN RATE:— If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)Ib),indicate: Floodplain, indicate Floodplain elevation: .1 <br /> IJfl <br /> PROFILE DESCRIPTIONS <br /> BORINGTOTAL D P H TO GR UNDWATER-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 ` O- to BI Is CD- 30 13W Is 30-So Brims <br /> g- Z SO (0.5N DNE >So O-(,,$Iis & - Z'jA1s 7_j- ms <br /> B-3 So %A D>J� > So o- ?SUs 7-I� $rrs I -3S Rs�l 35-8oB1�ms <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD 2 PERINCH <br /> P- 39 NONC 5 ::::79 9i 3 <br /> P- 2 31 t4oag- 5 4 '31"If 3 <br /> P- 3 16 tJDPJES 7/ 1314 <br /> P- <br /> P- <br /> P- <br /> PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- <br /> zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent <br /> of land slope. <br /> SYSTEM ELEVATION 93 . 4 <br /> ct�5 <br /> G�RyH/ LL �' • I <br /> i <br /> ScLE ! yo1 - <br /> Al!4 ]Do,3B ml Q A bE sIDIIIJG µ V <br /> qtl bt�l€a� a L)as >2eoN <br /> GAf$AG� _ <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures 7andmei�ods-spqcifi d 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. 93 Q <br /> i <br /> NAME (print): TESTS WERE COMPLETED ON <br /> !cN RD 0PkiililS 9 - 29 - 92— <br /> CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 2 (0 0 w 3 ST 107 0 S l06' S <br /> CST IGNATURE: <br /> DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. <br /> DILHR-SBD$395 (R. 10/83) —OVER — <br />