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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, - DIVISION <br /> P.O. BOX <br /> LABOR AND <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON,WI 537073707 <br /> (I LHR 83.0911) &Chapter 145) <br /> LOCA,/ ,/ <br /> ;; SECTIOIT39HIR/SL(00W TOWNSHIP/ O�T�Y LOT/T:BLK.�VyI.: SUB IV SION NAME: <br /> NT OWN US/BUYER'S IN ME: MAILING ADDRESS:(7 �n7 1 f « <t _6,e / <br /> USE DATES OBSERVATIONS MADE <br /> Residence NO.BMS.. COMMERCIAL DESCRIPTION: (PROF)'Ej S T�IONS: DILATION TESTS: <br /> �ew ❑Replace X77// 6 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-F IL L HOL D ING TANK: RECOMMENDED SYSTEM:(optional) <br /> ®S ❑U MS ❑U ®S ❑U ❑S ®U ❑S �l C0A)V <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 D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B (I �1�- 8p 0 0�`Q 7 �7 l pB /� S "` pM 'e <br /> B- eF d d ` I 7 / d n � S to � 1t r� )`1Td S <br /> 13-3 a- 97 (, ti '' lair s <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 PERIOD PERIOD 3 PER INCH <br /> P. 3 0 if 3 3 9 <br /> P- 1. 3 0 / D y i/ <br /> P-3 pia O & s izi <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 IS �6C Srtake II <br /> FL4� / cs <br /> S-3 S` 67-T 4�l F--�-- 9 Y t �—�� orC Q <br /> AQ APoll <br /> /verff. o lte Rd �s .�` S 4i [e2 grit <br /> 30 0' <br /> �y epTN <br /> t <br /> Ir <br /> �aK� <br /> ti1vi� ;w dFr�e <br /> Of C`,�.YYrYr � S RLt� S'G4�>✓ l "= y0 r <br /> oetil 13 M toc .>C)Ccept where <br /> ti%)Ttd <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the proce ures 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 (priL TESTS WERE COMPLETED ON: <br /> n <br /> ADDRESS�: 0 �- CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> CS NAT RE: � <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> D I LH R-SBD-8395(R. 10/83) —OVER — <br />