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DEPARTMENT OF REPORT ON SOIL BORING_ S AND SAFETY & BUILDINGS <br /> INDUSTRY, - DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 5370P.l BOX 7 <br /> HUMAN RELATIONS <br /> (ILHR 83.0911) & Chapter 745) 3 <br /> LOCATION: SECTION: TO NSHIP/MUNICIPALITY: LOT NO.:BILK.NO.: SUBDI VI N NAmm E. <br /> $w 1/ fie I/ /T YDN/RIS t (pr)W we aN NA 9� �a bo <br /> COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMM ERCT AL DESCRIPTION: _i _ IPR FILE DESCRIPTIONS: PERCOLATION TESTS: <br /> Residence �1 — — j�New IJ Replace / ZZ — 8`� 9 -2-`f <br /> RATING:S=Site suitable for system U=Site unsuitable for system I C! f— <br /> CONVENTIONAL: MOUND' IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM:(optional) <br /> [ZS ❑U ❑S ®U ❑S flU ❑S I7U ❑S ®U CoN� f�i1DN <br /> DESIGN RATE: <br /> If Percolation Tests are NOT required DIf any portion of the tested area is in the <br /> under s. ILHR 83 09(5)(6),indicate: I 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 DEPiH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 SU g1. 9 /NoNE 780 0- 4 BII- 51 Y-$0 $rh) rned s <br /> e- Z 77- D- /UOAJC 7 7Z o-5 Elk s 1 rx) il d s <br /> B_ 3 7Zr q0j mlu6 77Z 6-50'k- Sf - 7Z- rN ftd <br /> B_ y gv D• L AAMC 7 go -y - 86 cd <br /> B_ $ 7Z A/oni 77Z Iksl 5 - 1- grill <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 PERIOD2 PERIOD PERINCH <br /> AIDto S/ 3 Y 3 <br /> P No a <br /> P- A20 7 <br /> P- <br /> P- <br /> Pp <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 ELEVATION80- <br /> we,►I +o b4- <br /> a <br /> Aw61L� Sui <br /> Q. <br /> �, avow <br /> '1111, TN <br /> D�» t 270 �—ir <br /> 37� <br /> SCAIe � = 4016xgi where. tjr}.td <br /> 'Em 4 �n 0� S )1l , 100 <br /> I, the undersigned, ereby cerU y D at the soil tests re )CIO 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( ) NESTS WERE COMP L (TSE`D7ON! <br /> 6 QLV`/C �Te lel S ___ ` 6/ 1 /0 / <br /> ADDRESS r ` 0 7 CE RTIFI ATION N MBER: PHON NUMBER(op�5nal): <br /> C ((//JJ N3 T7�7 0l�6666 (!7T// <br /> DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tesler, <br /> DILHR-SBD 6395 IF, 90/83) —OVER — <br />