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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUDIVISI OS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 7969 <br /> HUMAN RELATIONS <br /> 0LHR 83.0911)&Chapter 145) <br /> LOCATION: SECTION: 14TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: 3t4 + : <br /> ��-- �/ L, /T WR E (o W �ALK504 — v'�. Coy <br /> COUNTY: MAILING ADDRESS: <br /> �KIQ J e es ER50n) 2862-' Co • Rn • C WF_ jF' WI• SLI 13 <br /> USE DATES OBSERVATIONS MADE <br /> EI <br /> NO.BEDRMS: COMMERCIAL DESCRIPTION: TIONS: PERCOLATION TESTS: <br /> EIResidence �7 �_ ❑New Replace 1 8 — 31 <br /> - 9�7 Q - 21 - (117 <br /> RATING:S=Site suitable for system U=Site unsuitable for system o ` (J J 1 1 L <br /> 0) ENTI❑u . M if SO EU IN-GES ❑Q E. 3YMS I❑UL ❑SC'IZU R co>J"TtnNa�optional) <br /> Ms DESIGN RATE:TestsareOueIf any Portion of the tested area is in the I <br /> under s. ILHR 83.09(5)(b),indicate: �� Floodplain, indicate Floodplain elevation: N <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST. HE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 (�0 D NONE <br /> B- � 7z 0- � $lms b '12BNrns <br /> B- 0 > ('0 0- (o $Im5 '7-16 Ill <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD P PER INCH <br /> p. 2 35 14 D S 1 <br /> 3/ l <br /> P--3 Zo N a Yti <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 �3 3 <br /> I <br /> Low <br /> 6 � . ). = - <br /> LgICE �-- r►..�r�-1 <br /> 07 <br /> • <br /> R�L96 ; ARA. 6 <br /> I <br /> tdEN 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): TESTS WERE COMPLETED ON: <br /> Krc RO DP91N3 S-31 - 17- <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 27 bo Hwy 3S W�3sTER W� . SLf8�3 36 0 lS-g <br /> CST IGNATUR <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. ii <br /> DILHR-SBD-6395 (R, 10/83) —OVER — <br />