Laserfiche WebLink
- DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFELY & BUILD Nbb <br /> DIVISION <br /> INDUSTRY, P.O. BOX 7969 <br /> LABOR AND PERCOLATION TESTS (115) MADISON,WI 5370' <br /> HUMAN RELATIONS ((LHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIPIM+Y3#C'Iflf[t+li'. LOT NO.:ELK.NO.: SUBDIVISION NAME: <br /> w 1/a u '/a / /T39 N/R ��tlaa,W L!A!c [t4 <br /> COUNTY: OWNER'S BUi''Ef35 NAME: MAILING ADDRESS: <br /> fr)HoS / 72 R/rvT / Sygs/D <br /> jr DATES OBSERVATIONS MADE <br /> USE PROFILE DESCRIPTIONS: PER OLATION TESTS: <br /> t NO.BEDRNIS.: COMMERCI AL DESCRIPTION: T. ❑Replare <br /> _ <br /> � � <br /> esidence 7 Q w—�New I, ��Sry s' �• 3��'(j <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING <br /> (TT NK: RECOMMENDED SYSTEM:(optional) <br /> }RS ❑U (=$ ❑� �$ ❑U ❑ $ NU ❑$ IKU e-etjil 161r, <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the p <br /> under s ILHR 83.09(5)(b),indicate: 1­4 Floodplain, indicate Floodplain elevation: �ry <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPT TOTO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,TEXTURE, AND DEPTH <br /> NUMBER DTOT L N, <br /> ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED ISEE ABBRV.ON BACK.) <br /> B- 72 92- (" N6AM s '72 5/" / S S2" , / /S It <br /> � <br /> B- 2 72 1-2'-16" ,� .I 5/.• �� 5— 2��'+_$ 2HjLS'L�`1�:3../S_ <br /> B- 2 -,2 f t > y y'; / s 52„ "1 2" <br /> B- 4 6 �2'_ D.r r t / �.• / I�N •/�� �r� N <br /> B- 5 G G 92'-2" f I y' / s 52'/;'? f s 2 e6 t 8 „ !S <br /> PERCOLATION TESTS <br /> .TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCH AFTERS FEEING INTERVAL-MIN. PERI 01 P,I002PEZI7 <br /> PER INCH <br /> P. Z2 a /0 3 <br /> P. 2 Z 4 6 o z <br /> P. <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 horn <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 9U g <br /> C2 = I3oRE 7-F5T } x <br /> 0 PEge TE 5T �^ y Ml � FiRf L 3' <br /> B.M. goo z 4 V.RP. /d cars <br /> [3,4o f / 0"V1.9 R/oAlr �S k <br /> /Y/AR1 ,ev kJ/f�lA'lL R,l38cN <br /> � <br /> '�EcC TO ,8E S o' FRa�'► <br /> l 8 'X 3� ------ o f QC <br /> S/61P6 J307 <br /> I�ROPaSEA L <br /> Q(D6. SITE l8�' <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 Wisconsi <br /> Administrative Code,and that the data recorded and the location of the tests are corract to the best of my knowledge and belief. <br /> NAME (print): TESTS WERE COMPLETED ON: <br /> �EDUARD Li. SCHRa�DE C — 3 — ' ; <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional <br /> �— CST SIGNATURE' <br /> ' G�� <br /> DISTRIBUTION: Original and one copy to Local Authority, Property Owrner and Soil Tesler. <br /> DILHR-SBD-6395 (R. 10183) -- OVER — <br />