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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON,WI 537969 <br /> 707 <br /> HUMAN RELATIONS <br /> (ILHR 83.09111 & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP{MfNHE;PA.EtTY: OT NO.:BI.KNO.: SUBDIVISION NAME: <br /> E'/ PE '/ A3 /Tyv N/R/7 Cut)W u h ' L) 3 N� � <br /> CUNTV:.�c.. MAILING ADDRESS: r <br /> pat 7/ o ti,rOre Bc/ rrt .L/ I -341 <br /> USE DATES OBSERVATIONS MADE <br /> s1h�yy NO.BEDRMS.: COMMERCIAL DESCRIPTION: <br /> ES R PTION: TROP TS: <br /> y_sResidence �IJew ❑Replace I 'rl 71 ,f) p //� /�. _f 9 - <br /> RATING:S-Site suitable for system U=Site unsuitable for system ! <br /> ONVENTI NAL: MOUND: IN-GROUNIESSURE: SYSTEM-IN-FI LL OLDING TANK: RECOMMENDED SYSTEM:(optional) <br /> �$ ❑U ❑$ ©U ( a$ ❑U ❑$ Cull ❑$ ®U C O .yL/ <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.0915)Ib),indicate: Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTHTOGROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN. ELEVATION OBSERVED Er,ffMTrESf TO BEDROCK IF OBSERVED(SEE AB/BRV.ON BACK.) <br /> B- 7D 98 .E 1voN-P 17 016 "Bu�S (, ".6S" t: Il FhS ,�;�C " if" d// <br /> sLTJM0C <br /> B- '— '10 f Na,NY �' R It <br /> B- 3 g 00 N0V ( <br /> B- /bf IO.9, olu-f 0.6 "gr4c <br /> B- S Q / 033 I1°'vt 7 /0 04, 8QLr6 `=3y"RL5' ay " iGY " 0? = fs <br /> B- <br /> PERCOLATION TESTS <br /> lTEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> F NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 P RI D P PERINCH <br /> P- I IF it A S" / S!P / a / 7/ <br /> P- 119 / / 9 <br /> P- S i 3 <br /> P- <br /> P. <br /> P_ <br /> PLOTPLAN: 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 9�. 6 ��P44Ist�gB 17 <br /> 4t55 I4. <br /> A 914-- °o� �9t41 'N �z <br /> f ! - <br /> i <br /> ri _cl I - - - tN <br /> I <br /> 1 , <br /> l I`d <br /> ((sttrs�I, ned, herebycertify that the soil t is po form were made by me in accord with the procedures and methods specified in the Wisconsin <br /> ACade,and that the data reco,de t el qPj tests are correct to the best of my knowledge and belief. <br /> NAM (can d: TESTS WERE COMPLETED ON: <br /> 110 �e +�I �� o i — l3 � 8 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBERIoptionall: <br /> b cr c,s' P 3 7/i 8 it <br /> C GNA URE: <br /> DISTRIBUTION: Original and one copy to Local Authority, Properly Owner and Soil Tester. <br /> Lf r5_ IF <br /> DILHR-SBOE395 (R. 10183) — OVER — <br />