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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, - DIVISION <br /> P.O. BOX <br /> LABOR AND <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON,WI 537073707 <br /> (1 LHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/ LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> �/w1/ U� 14 3d MO NA/(o1 Ow fM �4 `7 Bi /!.W Ca/t� 6-.NTes <br /> COUNTY: OWNER'S BUYER'S NAME: ING ADDRESS: <br /> .we v E. en e..v J( / II vc (.j IN, ¢d 3 <br /> USE DATESOBSERVATIO SMADE <br /> llqqII NO.BEDRMS: COMMERCIAL DESCRIPTION: PR FI-LE-DES—CRIPTIDNS: PER OLATIOP TESTS: <br /> y�Residence New ❑Replace I /yl/l7C 7/�/ifl, <br /> —r J G <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN_ -GROUND-PRESSURE: -IN-FI LLHOLDI NG TANK:RECOMMENDED SYSTEM :(optional) <br /> NIS ❑U fS ❑U ©S ❑U RIS ❑U ❑S ®U a o,vu <br /> DESIGN RATE: <br /> If Percolation Tests are NOT required � I If any portion of the tested area is in the <br /> under s. ILHR 83.0915)I O indicate: N Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,C LOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN. OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON!BACK.) <br /> S- Sa ? t r t4"i- 6 y <br /> B- '7 a- 99 7 k)o w-e (0 6 S kC l i lr lac 7 a. H 1 s w hn 7- hf <br /> s°ss"a ., .�. (I .S��Lb-r" y .,�.�� s <br /> B_ a 7� gq, 8 fI (o7a��,� Jf 47"-7>4 < dscr .. . T-4r- I. <br /> 133 71- 100- 1 ` 71 '!I(„..�Ir S', Sy 'i43 e H '-7ay h, 5 <br /> .rs '7y° Y Mr.4 1f <br /> B- q f-0 loo. 3 If 7V $'!�<w � o(J 7Y'= �o ,. dr (✓ *40? RG^tt <br /> / <br /> t 1 <br /> B- fj' fS ) Qd.� -7� S'i3 (A.tJt s"sY"e4»Kr, 'r S <br /> B �a-- 9N � / a " tS w hnoT /4A' '' RcMD <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD2 PERIOD 3 PERINCH <br /> P- /P +U 1 ?/ a. rlllr <br /> P- ;)_ Ivo 3 % 3/Y a S IP <br /> P_ 2 IJ d <br /> P- <br /> P- <br /> P <br /> PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- <br /> zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent <br /> of land slope. <br /> SYSTEM ELEVATION scat / = 4/0 ' 41 ST NOT <br /> �Nrad <br /> eT S Tv <br /> L4 <br /> 4; <br /> �o <br /> ? <br /> TN <br /> ygt9 <br /> 13 wiTd'e. S7 %Q-e 1, <br /> tYSrsy <br /> Kt <br /> Ge S4/ A;���p <br /> � 6 <br /> e 4r` C4 <br /> Qjt .w./o r ® vII-It—c( <br /> I,the undersigned, hereby certify that the soil test reported on thform a made by me in accord with the procedures and'methods specified in the Wisconsin <br /> Administrative Code,and that the data recorded and t location the to s are correct to the best of my knowledge and belief.' <br /> NAME(pr-nt): t� TESTS WryER COMP EpTED ON: <br /> e a fW InT / ;1' 0 <br /> ADDRESS: CERTIFICATION UMBER'. PHONE NUMBER(optional): <br /> -e�O STr- l ut s• S C/ �Q 7is'f(6 y/s7 <br /> CSI.$IGN[aTUR E: <br /> lr <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />