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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> I,NOUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISP.O. BOX 7969 <br /> ON,WI 53707 <br /> HUMAN RELATIONS <br /> 043.0911i&Chapter 145.045) <br /> LOCATION: SECTION:��� y�rTOWNSHI UNICIPA ITY: LOVN 1BLK.NO. SUBDIVISION NAME: <br /> Ai N Y'/ y <br /> ER'S/BUYEIR � j fortR ILfNii ADESS: kitp'A /vA, l 4r'lr '1 rr /l r `F P e '2 SI, g 7 Fre"Io0 Sc rM IS 1461. <br /> USE ERVA/IONS MADE <br /> NO.BE :"COMMERCIAL DESCRIPTION: ZVIE DESCRIPTIONS: PERCOLATION TESTS: <br /> Residence5iNew ❑Replace <br /> ta- <br /> RATING:S-Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL:JU MO S,Q� lN� q S 0 U DDS I U .�E #v�SYSTEM:(optional) 1 <br /> S ® C C T :,a,._: <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the talResiloree is in the <br /> under s.H63.09151(b),indicate: Floodplain,indicate Fioot*lain elevation: AJ/ <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL P H ROUNDWATE111C11 $"`L1f`ARACTER OF SOIL WEH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION-L V TO BEDROCK IF OBSERVElbatill ABBR V.ON BACK.) <br /> B- 1 rig.. f u O. 1 Al 0 A)''e. S e * G „B„ Ls 6 y`•LPLY S i' C_ MO <br /> CI <br /> B- t - 7®.- 1 0o, 0 ' ' S` I 411( 6 ''6144s by " RtS r- r1't Esfi <br /> B- 7o4- q y. $ IIs / 6 ' zs (4.3_ K ".S 3i1 (_- ) <br /> B-if 70- T 9, k s- C CeH [ s- (ems " i c c / " c 6 c c <br /> B-s` `70-. / ?r • `` U t,"ia 1 s 4 q'1 Oaf O` 1 ' c <br /> B- p_ ? 1 s 8 6 ' '6.1 LS "' Ls, a ,. <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD PERIOD 2 PERIOD 3 PER INCH <br /> D Q u c 10 a Ii /to a s 1 a 9/i k, <br /> P- I Y , 1v I o 9 /t, c '/ �1 3r�' <br /> / 8 I <br /> ll t i 0 a i 3//4, a 7/zL . <br /> PLOT P <br /> LAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hors <br /> zontal and vertical elevation reference points and show their location on the lot plan. Show the surface elevation at all borings and the direction and percent <br /> of land slope. L'4' LC i <br /> pz I t <br /> SYSTEM ELEVATION 9a: 9 <br /> c� <br /> p t-elperl:\i C il i <br /> 'l , .rw <br /> 0V I r k d- I 1 u I <br /> . <br /> oft 0x_ 10 0 O '.le, t .T , 1 i I f - <br /> go Ac F t 3 • i <br /> n <br /> TN <br /> L7 <br /> S <br /> IbO( "F 1 <br /> Lt <br /> • y cart y that • 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 ( rintl: TESTS WERE COMPLETED ON <br /> itad ` h ti-°Pt?tH � ,6'-- 7 - Sf <br /> A DRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> W,. 6S tr r-- t-e� i S . s e 93 V a l 7/ S't 6 `WI''7 <br /> GN TURE: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R.02/82) —OVER — <br />