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INDUS DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY Na BUILDINGS <br /> INDUSTRY, OI:/IafOR7 <br /> LABOR AND PERCOLATION TESTS (115) MADISON,Box 43707 <br /> HUNAN RELATIONG <br /> (I LHR 83.09(1) & Chapter 145) <br /> -- —fSt I ION <br /> IT yoN/R 16e----/ WiVSHIP/P <br /> LOCATION ' 0T Wt3_ BL�K.PAtfi.: SUBr' J,'WI(3`N^IAds. <br /> ,5W 1/4 1/4 �� lvrf Wl @ h _ I /✓fF a � [h 1_ h 9 P+ <br /> COUNI-V. ��«W.JEH'S. UYER'f N ME r MAI LUNG ADDR — <br /> 8 _► �Qi,u�_�_ r _ cam_IAL e d�T,T <br /> UISSE� Ji)_ I UA7�ti 08SE.RVATlr'IfS+S'#AADS <br /> tBcCXiAAS.�t;OM41ERc- DESCRIPTION (aN=wv {— <br /> RATING: S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TAa>rY i;Er�p1,S.MkhUE�3 <br /> ®S ❑U CSS ❑U [MS ❑U ❑S A ❑S ©U e o A/v <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)(6),indicate: Floodplain,indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) / <br /> B- 1 -Fo lol . 6 /uo 0 > J e y "814-5 ay "B <s S <br /> B-�- 80 > 5"Y44r o1)L" ,e,,4S <br /> B � �d ► o ► . � o 444s � 3`" � C S3 " S <br /> B- <br /> B- <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 PER IOD2 P R D PERINCH <br /> P- N 0 ?//& a- oZ <br /> P_ )- 10 7 3/ <br /> P- a o to a �s <br /> P- <br /> P- <br /> P- <br /> PLOT PLAN: Show locations of percolation tests, bormgs and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- <br /> zontal and vertical elevation reference points and their location on the plot plan. Show the surface elevation at all borings and the direction and percent <br /> of land slope. l <br /> SYSTEM ELEVATION <br /> s <br /> $C R ( eV l�a 8 a re d <br /> / " = Z/0 t V <br /> NeY�l . 3 �9a ' Sk, t�{e 4s`eot- <br /> M Rt c. I rV IrBg s e <br /> 0 g" IQ < d o4fC 1N <br /> 8 wl too <br /> 6/e /ybto <br /> 6C 6. <br /> I,the undersigned, hereby certify that the soil tests reportedF-e rw+ S'Ia l 4 Qfc-e- <br /> 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 ( in0: ` ITESTS WERE COMPLETED ON: <br /> /\ 6dCrrc <br /> ADDRESS: ! C ERTIFICATION NUMBER: IPHONE NUMBER(optional): <br /> 7 0 '3 7 7rs X66- i <br /> CS NA URE: <br /> r <br /> r <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-8395 (R. 10/83) —OVER — <br />