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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, _ DIVISION <br /> 7969 <br /> LABOR AND C P.O. BOX <br /> HUMAN RELATIONS PERCOLATION TESTS (1lJ) MADISON,WI 637073707 <br /> 83.09(1)& Chapter 145) <br /> LOCATION:. SECTION: TOW /MUNICIPALITY: OT NO.:BLK.N SUB ISION-NA E: <br /> �f �/ TVA/R (o V/ <br /> C UNTV: B R Sf tip �I��I r �QVe <br /> ti / n G♦r � 0 3 5Jig 1176* <br /> DATES OBSERVATIONS MADE <br /> USE P II I A STS: <br /> NO.BEDRrvtS.: COMMER ,IA L///DF CRIPTION: <br /> Residence �� �,� New ❑Replace z.M p �— Jt h'_ :1-Y <br /> RATING:S=Site suitable for system U=Site unsuitable for system �"� �V <br /> OKENTIO❑NAL: MQUND:❑� IN-GROU� �� E. SV❑ jV �L QoLDING�Ni:REC MEN ED SVSTEM:loptionall <br /> If PercoSSlatmn Tests a,.INMOST required DESIGN 1RRRRRRggqqqq E[['��yy//�� ,�J If any portion of the tested area 1is in the <br /> under s. ILHR 83.09151(b),indicate: /7�_ Floodplain indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH <br /> NUMBER DFPiH IN, ELEVATION OBSERVED EST. HIGHESf_ TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) <br /> B / 3' _ � g S! " <br /> B-3 �o yr S' f Ajl <br /> B y , r y5-5 <br /> r, <br /> s- <br /> e- <br /> Slo <br /> PERCOLATION TESTS _ <br /> TEST OEPTH WATER IN HOLE TEST TIME DRO IN WATER L V L-INCHES RATE MINUTES <br /> NUM ER INCHES AFTERSWELLING INTERVAL-MIN. PP-Rinn 1P RI PER INCH <br /> P- <br /> ti <br /> P- <br /> P / <br /> P- <br /> P- <br /> PLOT PLAN: brow 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 ELEVATION 93 4 f <br /> gi Mj,'.4 <br /> `JT <br /> a = PR ,rC. Nu Les � 4 � 6 ?N <br /> Pe tC. / a/exfdo 'ei <br /> /°e/C Z. Aje x t i 'eJ-u 3 �/ <br /> 10� r� 3 �cx f <br /> 0 / ►u / sfa k t. 01r LG we r of/07 7 <br /> -{-& firanA also owrv5 3f5 <br /> 3 ;'OL <br /> thS unJ€rsigneTl 1 Hieb'yOr Or <br /> Lx4 t� t 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 recordedrhe location of they�s are correct to th best of my�ow edgg-a�tfyl a f� sc. <br /> rDr_ � (/j _ b'c�� /s Sun�..G1S� <br /> --- -- --_ __—-- TESTS ERE COMPLETED ON: ^ aj <br /> [ADD <br /> AME Ip,mU: 1y _ 6�/ <br /> t !1e AlC/T 1 __ A I-a— •3 <br /> -I CERTIFICATION NUMBER: PHONE NUMBER Ioptionall: <br /> Z 1 bb Ca Al kT Sy if 30 C S4 o0 35 1 ss'� <br /> CST IGNATURE <br /> • <br /> DISTRIBUTION: Original and one copy m Local Authority,Property Owner and Sa,l T,ster <br /> DILHR SBD-6395 (R. 10/83) --OVER - <br />