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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
<br /> INDUSTRY, - ccIDIVISION
<br /> HUMAN RELATIONS LABOR AN PERCOLATION TESTS (11J P.O.MADISON WI 5370BOX 7
<br /> 641/7"4, 7 (H63.0911) & Chapter 145.045)
<br /> LOCATION:JJ// p SECTION: R// TOWNSHIP �� CLOT NO.:BLK.NO.: SUBDIVISION NAME:
<br /> COUNTY: u�/ OWNER'/,BtJ.ie2'N /4/ _DE tat
<br /> ADDRESS: r
<br /> D l E).EGtJF1 /1iL! /p1j,
<br /> ha fiE T 7 fft, ui,v &I , -o:,yd4 sir f,,v,V, Sr 40 6—
<br /> USE DATES OBSERVATIONS MADE
<br /> ,��,//� NO.BEDRMS.: COMMERCIAL DESCRIPTION: �,�, P ILE DESCRIPTIONS: PERCOLATION TESTS:
<br /> L'�fResidence L- ew El Replace ,/G/� �j_02-,s4 , —69•V
<br /> RATING:S=Site suitable for system U=Site unsuitable for system 7
<br /> CONVENTIONAL: MOUND: IN-GROUND-P ESSURE: SYSTEM-IN-FILL H ING TANK:RECOMMENDED (optional)
<br /> If Percolation Tests are NOT required DESIGN RATE:f If any portion of the tested area is,in the
<br /> under s.H63.09(5)(b),indicate: / Floodplain,indicate Floodplain elevation:
<br /> PROFILE DESCRIPTIONS
<br /> BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
<br /> NUMBER DEPTH IN. OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
<br /> B- / 72 lo1.7 NO/A-- " 7,9, el Is Ts xS A� S .ss
<br /> B-A, 7' /42,q > 7,1 /3L 2..s Ts y As jc7, S 60
<br /> B-3 zg /Oa 3 _ 7 7g di /s Ts s; ,ts‘ i.7, s 6
<br /> B-4 72 /oa,J 7 ZZ 8I 45, 7; 3 As /$ s s'y/
<br /> B6- 7•7.- t0.7,1 7 7). & As Ts 's 1z, . 66
<br /> B-
<br /> PERCOLATION TESTS
<br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES'
<br /> PU NUMBER INCHES AFTER SWELLING INTERVAL-MIN. , �R 1 PER 2 R � PER INCH
<br /> ao
<br /> P- z .3,) No i/ 4 14 f 3 /
<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 7
<br /> It. ��P NA 'ly sZeiic
<br /> H , „5:1
<br /> /5No
<br /> 0
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<br /> �. �; T N
<br /> D
<br /> 1 f
<br /> 1 ARIA 1 Mc670
<br /> 1. ?d x - is c- o fWec
<br /> A "12U/17.0/1
<br /> t''A
<br /> I,the undersigned, hereby certify that 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 recorded and the location of the tests are correct to the best of my knowledge and belief.
<br /> NAME (print): TESTS WERE COMPLETED ON:
<br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional):
<br /> l i. Xi/Exi. /Ake; we s. Sy87i 56- -/a 9 7i3----63 - 1s'o
<br /> CST SIGNATURE:,
<br /> J0[
<br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester.
<br /> DILHR-SBD-6395 (R.02/82) —OVER —
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