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DEPARTMENT OF REPORT ON SOIL BORINGS AND .- SAFETY & B UDI
<br /> IVISIION
<br /> INDUSTRY,
<br /> LABOR AND ' - PERCOLATION TESTS (115) i BOX 7969
<br /> HUMAN RELATIONS \ / P.O.MADISON,WI 53707
<br /> (H63.09(1) & Chapter 145.045)
<br /> LOCATION: SECTION: TOWNSHIP/MJ,JN101PAL-1 Y: 'LOT NO.:BLK.NO.: SUBDIVISION NAME:
<br /> 4/f1/ )/4
<br /> z5 /17/ON/R/61,dw4 W , 1�r ,t9 J4- NA- /t' l-
<br /> CNTY: OWNER'S/B410e1l'S'11WME: MAILING ADDRESS:
<br /> C3u,NETT NT/fo/Vy J. 5,444,61s , / 4goX/99 ivF.SSTSR 1iiS, V.:9 -13
<br /> 9
<br /> USE DATES OBSERVATIONS'MADE
<br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRI TIONS: PERCOLATION T STS:
<br /> Residence .g 414 ❑New *Replace /O 2/ es /0/2/
<br /> /�G�3
<br /> RATING:S=Site suitable for system U=Site unsuitable for system G UU ! -.
<br /> CONVENTIONAL:J� . MM �. �� IN-GROUND-PRESSURE:� �� SYSTEM-IN-FILL XS HOLDING TANK: RECOMMENDED
<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: ///t6f 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 /> B- / 5,6 `r 96/2 N0 P06 > 6„ ,7,.l L f' 6 S S2 /.S4 F�
<br /> B- Z 4,...-
<br /> 8,I 9 3 /( > 5Q it `OIL /�7 ,j,j , 5 /' .r1/.=.05
<br /> f�
<br /> B- 3 O"i 98 7,, - // 604 y„a /n'lnos 5e;,e4 .Y4LpS
<br /> B-y 75, 99'y, (I . 75,, 9 ;r&L n2c-Ac, 7/"/'r m, DS
<br /> B-5 7v' 99 ,( 0 > 7/ /I 91t331 �-,5r 70f(/34 47:°
<br /> B-,‘, 7Z'' 9917" 1l 7' 72 lira 4/cp5/ a/ge "D5
<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. PERTI_Q 1 PERIODc 2 PEIjIOD 3 PE IINCH
<br /> P- / ($ /uo�� /�'Ss /,-g /"'� /"3
<br /> P- 2 /9 // 24 / /i /y
<br /> P- / g // - 2 ��g %
<br /> ,---, (,,...._-_,
<br /> P- r 3 4' f( 2- / / / / /3
<br /> P_ ,6 , 3 5 // --- 7� /k `, . l 7
<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. if/D gFQI,R.E ` Pub Q p fQ u oe11
<br /> SYSTEM ELEVATION �/'g5Tr? EL: 96 'i"
<br /> -77-7T.s."7-7‘7, jf_ : , 1 i G
<br /> D'/mod L ( —
<br /> �� a-
<br /> ,,� a� -- yc� ,r4c2E,gk-?T /.5 x'S!
<br /> D Py °�s Per} I
<br /> Pao PI.o 6 0k.
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<br /> G1ou!'of aA K TRrrs ,_ 3 ' , _ ! - --- i ' ' _ �H
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<br /> sTE DKj vN ir!) ' 20 ( Rl E
<br /> SENT R, vP o + I E '
<br /> 4 r "'
<br /> H1Tt1 1 4 ij
<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 /> NAME (print): TESTS WERE COMPLETED ON:
<br /> in
<br /> L. gwi/U 6�Nso� iota/ g3
<br /> ADDS: CERTIFICATION N MBER: PHONE NUMBER(optional):
<br /> RE0-(- 2 G4)4WSTEX, �15. .S.i gS'3 CST/5 g.' 7/..`"-%%- VG$3
<br /> /SpiekTU ":'
<br /> �`LL
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<br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester.
<br /> DILHR-SBD-6395 IR.02/82) —OVER —
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