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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUS DIVISION <br /> LABCR AND PERCOLATION TESTS (115) P.O. BOX 7969 <br /> 3707 <br /> HUMAN RELA'T IONS w WW DIS0teroftx <br /> 1� 537 7 <br /> - (1LHR 83.09(1) & Chapter 145 <br /> LOCATION: SECTION: TOWNSHIP/MUNI Cl PALIT LOT NO.:BLK.NO.: SUBDI ION AME: <br /> /TUN/R/#E (o Cc <br /> COUNTY: OWNER'S BUYER'S NAME: LDa4J4frNU ADDRESS: <br /> �Ji2,v�7'1 R,er/A,2p � RDE olrr�iER�:-ATicuAG D,P, �(/rlE gas /yIP� <1N. s�yzo <br /> USE _ DATES OBSERVATION MAD <br /> NO.BEDR : COMM R A DESCRIPTION: _ PROFIL RIPTI ,S: R A I NTESTS: <br /> �R¢sidence N� {Jew L�Replace J — //– 67 <br /> RATING:S-Site suitable for system U=Site unsuitable for system 77 <br /> ONVENTIONAL: MOUND: NdAOUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional)® ❑ E ❑� <br /> ❑u [IS u ee'uo 7-l0ti "G <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: N A Floodplain, indicate Floodplain elevation: 11130 <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL PTH T GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COL R, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST. I(jHEST TO BEDROCK IF OBSERVED ISEE ABBRV.ON B CK.) <br /> B- , qq,D,. /jONE > 72 „ s., C 4 / BiL/r� <br /> B 1a 79 C�t� (� IJOfJC 7 .7e,. 131-,75 <br /> 3 3 3iyK /C,,, ?�y75i 3s"" dNPs <br /> B- 8q1, lUU/O SNC. /f�l�.�, S $ti 13[, IS. -ID 13.'FS, /5 /YJ5 1�/' B.urS, <br /> - - <br /> B- l2 ',Zl-I S 3 S" t3ti FS, <br /> B- 79" 9c/ L . 7 7,f 5 SL 6A, 7S 36„ gout-' lc' Rm5 a7 " 3a�s <br /> 13- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERI DL PERIOD2 PERIOD PERINCH <br /> P- f r " /`,ON S i Cr i <br /> P- a OhE 5 5 f i l ' z <br /> P- O E E !o l v7 5"O <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 t glof plan. Show the surface elevation at all borin-s and the direction and percent <br /> of land slope, <br /> SYSTEM ELEVATION <br /> 'LOA <br /> 1 z'/ <br /> Ikownc <br /> �G 4h-0 v..ar_AaIA, f14T, <br /> TN <br /> 7 <br /> I <br /> /4 i_._ <br /> to <br /> I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures an met wds specif. d i 4�Visconsin <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and beli f. <br /> NAME (prints* _ TESTS WERE COMyLETEO N: <br /> P �& <br /> ADDRESS: CERTI FIC TION NUMBER: PHONE NUMMAAERloptionall: <br /> 2T Ux 5i t~ CAY; <br /> CST NAT E <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. N JAI <br /> DILHRSBD.fi3g5 IF 10/831 n,.�„ <br />