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INWS RY, OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDI,ISTRY, - ---- - -- - - DIVISION <br /> LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 <br /> 3707 <br /> HUMAN RELATIONS MADISON,WI 53707 <br /> (ILHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/M- LOT N0.:8LK.Np.: SUBD VISION NAME: <br /> J1 VE'/ /8 /TyON11114(or)W S c a d/f� N"RA N//RI <br /> CQUNTV: OWNEP'S BUVER'S NAME: MAILING ADDRESS: <br /> Z h"t )I11T 09pvu1/. <br /> USE DATES OBSERVATIONS MADE <br /> pp�� <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: 1pNew PROF�E DESCRIPTIONS: PER�AT�TESTS: <br /> �7 ❑Replace <br /> WW <br /> Residence �! <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDI NG TANK: RECOMMENDED SYSTEM:(optional) <br /> [AS ❑U ©S ❑U ®S ❑U ❑S ©U ❑S ®u C✓e ,vv <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),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 SEEA BRV.ON BACK <br /> S" r / AIw.tY t K <br /> B- 0 ,�I0?1--1 7s- /s"s s S" 8 -i s/ w /r„IIT R F F <br /> fI � OQ 6 "6l L r /y• 84LAw-cd r SO" Jz Ker <br /> B6O II 7p S ��Q«S let " 19q+neds 6.� " g 't C S <br /> B7L/ �A /Od. II � � S-" BCIf 6...M-e d <br /> //r S/ ee r <br /> B-S d / 00. II 7 'P � S "ells /3 "BKKwtit� i ba " 8KC r <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD PER PER INCH <br /> P- d N o a. d 9 <br /> P- a Na 10 a �. a xmp 4101 <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 97. 1 per" . <br /> / 't` y (� ' --RXce/o-r t. #-.t moTtid 8CP.-a ❑ <br /> 4- d97 ' 14' -Z) <br /> AB C . r c• of f*i <br /> *03 ' <br /> � P <br /> +r � <br /> t <br /> • .UaiC iu 4?ere r� 8rr l„f417111 <br /> P�upv /p <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 LVlsbsifi''; <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 /> N E(pr'ntl'. TESTS WERE COMPLETED ON: <br /> ?fin de �I a �I k r �- 1 16 <br /> ADDRESS r--. CERTI FICATIO NUMBER: PHONE N MBER( tional): <br /> �e 6a <br /> 1-1e,r W'� r, �! y3 >Vr 86 T <br /> CS GN Z - <br /> 14 <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> D I LH R-SBD-6395 (R. 10/83) —OVER — <br />