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DEPARTME11LT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 <br /> HUMAN RELATION'S • \ MADISON,WI 53707 <br /> LOCATION: SECTION: TOWNSHIP/hRtNfesf�t7TY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> s� 1/.5w''/ '.-1 /T yo' N/R4 E�r►W og� (Ar\J - - - <br /> COUNTY. OWN ER'S/Bl.L .R'S NAME: MAILING ADDRESS: <br /> 13%' ,1'ac 77 .6.:o':Ge ' JC, r-Inys'osad 8r / Box ?..S' IDA/18Ugf/ .S s 0 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: <br /> PResidence - Al , ❑New Replace / _ .'7_ ry L�_ <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 /> QS ❑U RSEU C'S ❑U ❑S ❑y'U ❑SCUD c=,eAi ✓ <br /> If Percolation Tests are NOT required DESIGN RATE:SYSTEM ELEV. If any portion of the lot 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 7 TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 '72 <br /> `IV /v`i''`1c ' 6 .6 / TSB 6-6 /?� c <br /> B- 3 76 9 --/0 ° ,, ,76 6 "` 6 / TSr 0 " r.3,, r s <br /> B- <br /> B- <br /> B- <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. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH <br /> P- I 30 NO /6 y. i/1‘ i+ b- 2-- <br /> P_ 2 <30 /)Ca J 0 37= y 14 01„tilt <br /> p- 3 36 Ai 0 /0 Y d'1 V /G. 2- <br /> P- <br /> P- <br /> PLAN VIEW: 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 slop. <br /> :r <br /> SYSTEM ELEVATION t o l— <br /> r <br /> ti �f <br /> m yofr <br /> ---. 4.\ <br /> (-3 p,K `-5 T <br /> I- � I A �„ a �1 - ��,A'1,� <br /> tld /.? r r <br /> 0 ,f1) ''..43),...--cd.-2-;_„,,„6. <br /> \t 1 /} 1 <br /> ye r <br /> ,, ,6 e 'I � �"t� 2 4:4 A 715.: ill:-,.1 EL. 1 cc <br /> 04'4' 0 d.7f <br /> tN <br /> ,, 7' ,_ :XiPk'' > Y/Cla L 4° TAt, (.c 1-7-c),e A <br /> % �A' <br /> • <br /> Aty�e <br /> I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin <br /> Admimistrative 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 /> E Q 6,.1 A•Cz D t d, ��° /' 0C.'Fk' 4, -, -- <br /> ADDRESS: '7 CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> CST SIGN TUBE: ��sy �— <br /> ..i-f_.1,.�v (,'J_%�1G,ri--14 <br /> DISTRIBUTION: Original-Local Authority,2nd page-Bureau of Plumbing,3rd page-Property Owner,4th page-Soil Tester. <br /> DILHR-SBD-6395(N.03/81) <br />