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DEPARTMENT/OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, cc DIVISION <br /> HUMANLABOR REDLATIONS PERCOLATION TESTS (11J) MADISON WI 53BOX 707 <br /> T ( p (H63.09(1)& Chapter 145.045) <br /> LOCATION:N LI '/S 13 1O/T35 N/R17/ (or)WQ WNS I N�CI�PA�I^ LOTAA <br /> A BLK.NA SUBDIVISION NAME: <br /> COUNTY: OWNER'S/BUYER'SQNAME: `/` MAILING ADDRESS: //V 'LL` N,f/At /A� <br /> R4rnr p4 rry jr-, 4) t e n. Sb a y F,enMon'� s-t ilv, is i z. <br /> USE / DATES OBSERVA/IONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: <br /> ResidenceNew ❑Replace <br /> ( s- 7' ey s- 9.-zry <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) <br /> [VS LJU ❑x S Lill , X S HU HS .X U —S x1UJ c c <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s.H63.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: PA <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, OBSERVED_ EST.HIGHEST -TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- ( rja- foO. t At6V- - Se ` 6 "e„ ts 6`/"I 'Lr 0f' , /1,I ( 4 <br /> B- C)-- '7®-- 10 a, 0 ' ` 7 lik 6 ,,,e4ts b V" R( S ,9,.. „ Q 4 t € St <br /> B- ,:3 <br /> - <br /> B- ,:3 73” 99P $ _ I Is- 11( <br /> 6 `en is (.03 '?LS 3„ c /(c7 <br /> B- 1/ IV- `i 9. 6 tl �5e lir 6,-190 Ls (os" RcS' i .. IR c c <br /> It <br /> B- ,s- 70- f ?. Q k"B,, i s (f, " RL c 01 " c <br /> B 7/)--7/)--, t i' 1 5' 8 "64 LE 6%" SLS , C <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH <br /> P- 1 C u e 10 0 VV/i le , a s/a a 9/4, <br /> P- 0-- t 9 P0 I 0 - & 9//(e o1 I/a.. 3/g h� <br /> P-3 1 88,t,O 10 a. 13//4, a 7/ g aAy 4/ <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 ,.lot plan. Show the surface elevation at all borings and the direction and percent <br /> of land slope. 5C 4' L. { ",=_ itO f <br /> SYSTEM ELEVATION 1 f. 9 <br /> — diaa-RT'‘trL <br /> j�rlb II ' i T Ti • % - <br /> . 0 lel t .i i .4 C_ <br /> z. € 4. i <br /> N ` 10c C 1 f. c ; i 1 <br /> vim ! i7 <br /> 1 i , <br /> s <br /> ( i tfj ` ° 1 <br /> ki �► <br /> .. 4 <br /> 1 ) <br /> go <br /> Firs 3 ( _ _ • �'_ : c P,ai �► m <br /> i � I <br /> i 1 -1-r— 1—‘17 / e- € i € <br /> € € 41' I , / / <br /> - � <br /> ( ( 1 II <br /> i I . t i I i gs 44 <br /> _ _ ! } __.. .__ .____. __ 1�___ _ _.Acia. _Ern <br /> . I 1 <br /> _._. . t _ } _ _ ._ .1 4 _� <br /> { I <br /> r <br /> -- . , -.y certi y that -- .• -•.- -. on t is orm were mase .y 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 /> jCa d-�r i h tt v IT;k s' s 7- 67 11 <br /> A DRESS,: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> (A)4e. ASS 7`_P,-- (.kJ i s . -Ss.S/a 93 '/3 7 7i$•t e.t. /ix`7 <br /> 7GN TURj: Ihrt_ <br /> ��� <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R.02/82) —OVER — <br />