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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> LABOR AN PERCOLATION TESTS (115) DIVISION <br /> LABOR AND P.O. 80X 7969 <br /> HUMAN RELATIONS MADISON,WI 53707 <br /> (ILHR 83.0911)&Chapter 145) 12._ _ 12- 9Z- qljl <br /> LOCA SECTION: TOWNSHIP/MUNICIPA LIT V: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> 51A( 45W I/ S /T ON/R16 E (p W OAKLAND <br /> COUNTY: MAILING ADDRESS: <br /> U - 1 . 656 UTIN AV-S- j 6 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: SNSA: TETS: <br /> S <br /> ❑Residence New ❑Replace I <br /> 6- 7D- 93 L 20 _93 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSLAtE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional)AJ <br /> S ❑U ®S ❑U MS ❑U ZI ❑U ❑$ �U CD4VfgT1oN1AL <br /> If Percolation Tests are NOT required DESI RATE: If any portion of the tested area is in the p//11 <br /> under s. ILHR 83.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: UP <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL PTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPfH IN, ELEVATION OBSERVED E HE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- J Gl6 91 .5 NotJ6_ > 60� o- $ Bl -2� 26-(�G13wow qr <br /> s- 2 0 - 9 Bffi 01-9--Z Bwt5 z2. - (c4 .8gMsw5r <br /> NO�JE <br /> B- 3 20 3 -y NONE > So D DiB(,2- OSIV s 28 - G28dmswyr <br /> B- 4 1$ C&Z OnIE -> ,7$ 0 '1 81f5 7 - 3Gu 36-78 IstjPLSV Sr <br /> B'S 890 N01,161 >? °- s �-3o 30- Lo pPis wSr <br /> B- <br /> PERCOLATION TESTS <br /> DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFT,E1RSWELLING INTERVAL-MIN. PERIOD 1 P�E7R IOD R PER INCH <br /> P- ) NQ .� /IL " (1. <br /> p- 2 22 <br /> P. 9� ) i 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/lloc,alion on the plot plan. Show the surface elevation at all borings and the direction and percent <br /> of land slope. AL{ . <br /> SYSTEM ELEVATION <br /> �- Iv $9 .91 91 i8 �cAc ►"= r T <br /> ,$►�1 lob �RI__IIJ l3 bFj <br /> I � r <br /> TN <br /> I <br /> I <br /> ( <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the proced es a met ds spe ifitend t Is in <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best ofIt ledg d laer 7 �j � <br /> lR <br /> NAME (print): E TS WERE COMPLETE ON: r 70 <br /> ►cNARD Wj< S '3- 2-0- 93 <br /> ADDRESS: 2M W Nw WE85TER CERTIFICATION NUMBER: P NE Ni MBERI;ptional): <br /> 1 CST3 <br /> a."j : 4 UpIOID t <br /> DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. <br /> DILHR-SBD-8395(R. 10/83) —OVER — <br />