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DEPARTMENroF' - REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, C DIVISION <br /> LABOR AND PE tCOLATION TESTS (115) MADISON BOX 7 W 537069 <br /> HUMAN RELATIONS <br /> p (H63.0911) & Chapter 145.045) <br /> LOCATION: � 5�7�T�`�N/R��(or)yy TOWN IP/MUNICIf ALITY: `LOT NO.:BLK.NO.: SUBDIVISIONQ NAME: �S� <br /> ," L �J t1, I L C.s. //lty� <br /> HLINTY: OWNER'S/ UYER'S NAME: rr MAILING ADDRESS: } ,t <br /> 4 s� i`e ft M l l- -s' �. N d' - /lI f bi i A'c, ( t IL L" r9 f+ t• /., iJ /`I C r h i h 4 Ph,t <br /> USE / J DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: <br /> Residence )New ❑Replace — / <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) <br /> XS ._U XSLJU , ElSiU EIS riSXU c0 ici v• <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s.H63.09(5)(b),indicate: Floodplain,indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER'DEPTH IN. OBSERVED EST.HIGHEST� TO BEDROCK IF/OBSERVED (SEE ABBRV.ON BACK.) <br /> / <br /> B- r 7 >I 7IGJ— <br /> - / y 'a, 4-4 /,) tr-< zI6-r ^& '/ C S <br /> B-4- ))-- ry 7 ) q"Y. t L. /9`/54 3 a- " (.. A `' e sS <br /> B 7)-- c y 2 7 a-- `'eA sL / J. " s- L .at H G- . r C S <br /> B-/ 71-- 71 7 ��n s � % �� s 3 � tpCr r gt (p !/ C S <br /> B.5 7 )- `�7f i )-)— g`'iS:a r4 / `/ " S l- 3 ;,"fir " C S <br /> B-4 7 )— i!4)- 7�---y�`�',, s• i �`'s � 3 � "` y " s <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. PERIO 1 PERI 2 PER 3 PER INCH <br /> 7/ 3 c - /..� r Cs r ' <br /> P-a- 1 , a i' i. / / - i • � 6 <br /> P-.3 3 v iv 0 t Q I Ne. /. / .7 _ <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 g/i i q; =� e-c- <br /> A ',, c o <br /> / 7 P-7 <br /> g o E <br /> ec„ C 7` 111 <br /> .s- Pkoca. € a _ <br /> p Fes , <br /> :vu. cr-c A c <br /> /iv,44r /6 ` q ct. <br /> k <br /> I,the undersigned, hereby certify that th s.Tlitarep. -. 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 /> NA E (pri t): t e TESTS WERE COMPLETED ON: <br /> . , r i c * 0 P t r i s `/'- lc - - <br /> ADDRESS: r�, CERTIF TI NUMBER: PHONE NUMBER(optional): <br /> -e i4 � . TN g1� Q3 7ci cc ', 41/r 7 <br /> TIGN TU E: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R.02/82) —OVER — <br />