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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR <br /> HUMAN NDLATIONS PERCOLATION TESTS (115) MADISON, O 7969 <br /> (H63.090) &Chapter 145.0451 <br /> LOCA I0M SECTIONTOWNSHIP Y'. OT NO.:BLK.NO.: $UBDI VISION NAME: <br /> 15#J �'/gGY ,6 /T`IN/R /� Ipr)W his <br /> USE IINTY. O NER'S BUYER'S NAME MAILING ADORES: DATES OeSE NATIONS MADE <br /> fr ..L O �tDFc►I �/-S S .�i(In'l��irll $T1�3✓/ In N-'/ •SSS/dE <br /> NO.BEDRM&: COMMER IALDESCRIPTION- I�( PR FILEDESCRIPTIONS' PER OLATID TESTS: <br /> rx--Mdence 3 V n Jry New ❑Replace I 9. vlq GJ1 7—A-1♦q d11 <br /> RATING:S-Site suitable for system U-Siteu table for system / d-/ o /'K/ <br /> C N NTIO❑NAL: MO D'. ❑� IN-GROI)� P❑� ESY yE� ❑�L ❑INGRNK:RECOMMENDED SYSTEM:(optionad <br /> If Percolation Tests <br /> S)Wl are NOT required A DESIGN RATE •r�fll IionSypor Uof tetestedarea is intbe <br /> ro <br /> under s.H63.09(51161r indicate: Tfp.- IV "s, FI odplai Intllcate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNDWATERINCHESCHARACTER OF SOIL WITH THICKNESS,COLOfl,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN. ELEVATION OBSERVED EST.HI HEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> T <br /> > iog <br /> B- a ��. Oyu }�o✓� 7 '�Z ei�S.[- Ol. �ti f S, �. <br /> B-s 701 03. t > 9aG', /v yS.L- 67C 'W S'. .. <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTHKAFTERSWELLING <br /> TTESTTIMEWIN WATER LEVELINCHES RATE MINUTES <br /> NUMBER INCHESPERIo.2 PERI a PER INCH <br /> P 3 02 1p. <br /> P- <br /> P- <br /> P <br /> PLOT PLAN: Show locations of percolation tests, soil borings and the dimensionsta <br /> of s ble sail a sc <br /> s. Indicate ale or distances. Describe what are the heii- <br /> ontal and vertical elevation referencents Poiand show their location on the Prot <br /> Plan, Snow the surface elevation a[all borings and the direction and proper <br /> of land slope. <br /> SYSTEM ELEVATION /oar 8 a ao <br /> I I i I I <br /> uJC/ y- <br /> I I I <br /> at <br /> 041 <br /> i.a� %✓r1�JTN <br /> ! l u ly I <br /> m <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 /> NAM rind: JTESTS WERE COMPLETED ON:A CERTIFICATION NUMBER. PHONE NUMBER optional)' <br /> a— <br /> GST TD <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> OI LHR-SBD 6395 03.02ACO —OVER— <br />