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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR ANDP.O. BOX 7969 <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> (I LHR 83.09(1) & Chapter 145) <br /> LOCATION: j SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> ncn,�Nut 4 /T4J A/Ris E I. �/ Na U N <br /> COUNTY: OW ER'S BUYER'S NAME: MAILING ADDRESS: <br /> L-'rf � CSD aD17 JT-ToffN Ra90 Serf tAZ4&r <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: I PROFILE DESCRIPTIONS: ER ATIONTESTS: <br /> Residence N�. New ❑Replace L � (C f.l�fi <br /> RATING:S=Site suitable for system U=Site unsuitable for system ! 6 <br /> CONVENTIONAL: MOUND: IN_ -GROUND PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SVSTEM:(ophonal) <br /> ®S ❑U EM ❑U � 1❑U �S ❑U EIS ®U Ccuve_--#j-ri&AAe <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(511b I,indicate: N Floodplain, indicate Floodplain elevation: JV0 <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DIiiPTH 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 O/lr /TGw� 3 rt �� &� 7?5, <br /> B 6 D/`L 3 „ 81 ,SZ- TS, 2r It ' 13N" 5 . <br /> B 3 Io r6 r A�oN� 3' 040f,4 TS 75'_ goy F5. <br /> B g f, 101- etic: 3' \ 6A, 51— ?5, �'/ 9,—FS . <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 PERIOD 3 PER INCH <br /> P OU / S/f° � / / <br /> P- <br /> P_ <br /> PLOT <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 <br /> 'uollonjlsuoa Aur}o Liels ay}of iolad pa}sod pue paun'1g0 ay 1snW klutl id ASPlua,s ay1 UWiad c tuelgo <br /> of aapSo ul ATUoglrle leaol 0MAC10ad11e ayl O7 1)a1110rgns eq 1SnUl uo1lPo gddP 11LU.lad P pup uialsAs o6eana5 <br /> a}PAu(J ayl 10) SUeld }o las olaldtuoa \y 'aatlPn53l 11 uaPad o1 Smad play atll l0 1Sa1 IIOS Sigl }o t10QeDIj!ABA <br /> asanbaa APUI lW0W!APd0O at{i io Alunoo otll '11UHAd AlP7lues P 6uimea3 w dais 1sa4 ayl Si 1.I0dai lsal IioS Siyy <br /> :H3NMO 3H1 01 <br />