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DEPARTMENT OF R PORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY,- __ DIVISION <br /> 7969 <br /> LABOR AND P.O. BOX PERCOLATION TESTS (115) MADISON,WI 533707707 <br /> .0 <br /> HUMAN RELATIONS (ILHR 83 <br /> 911) &Chapter 1451 <br /> LOCAT N: ION: TOWNSHIP/ LOT NO.:BLK.NO.: SUBDI VISION NAME: <br /> N�-I/ �/F% ! � /TION/R 1pr)W Sc v (lQ 4Dt f� v io <br /> COUNTY: OWNER'S BUYER'S NAME: MAIL N ADDRESS: <br /> B rn C�irit•Cgro ( Ch /qJ Q/ 7 r0A C TrT P4kl S /d i' <br /> DATES OBSERVATIONS MADE <br /> USE — <br /> NO.BEDRMS,: CO R IAL DESCRIPTION: R }/` <br /> I JResidence New ❑Replace I '7/a.3 /4 > a 3 6 <br /> RATING:S-Site suitable for system U-Site unsuitable for system / <br /> p❑ST®�, MQ__ �, IN G❑S p®U , SMS I❑UL HOEIS <br /> SG®� .RECOM�MAN�DE�S 17:(optional) <br /> AMU <br /> e NNII DESIGN RATE: /"/ <br /> II Percolation Testt are NOT required If any portion of the tested area is in the <br /> under s. ILHR 8J.0915)(b),indicate: I Floodplain,indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORINGTOTAL. ELEVA fIUN ^TH: P,OUNC.:ATFR.WC19c5 CriNfiAT'TEii Of-5(7il WITH THICKNESS,COLOR,TEXTURE,AND DEPTH <br /> NUMGER DEPTH IN. OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE BRV.ON BACK.) ,} <br /> rr <br /> B- 7a �, � c10j 30 R « yy-s3 " 2Ck s3'-7i " r w ere RC JD <br /> B- 2 �ed t 36 D 2 aM 0 <br /> o,S,4 r 57" 3111 • . . c 1 . VS y v .r.e <br /> „ <br /> B- 3 �9 �, {� t ' 3 I e- al vs= 5e Rc.c so 69" <br /> L' y " gLGM:'J q " ,/- ,< dr 3'/"-e y° yr- <br /> B-'y G 9 a �,.° r R <br /> B•S <br /> B- <br /> IPERCOLATION TESTS <br /> P <br /> TH WATERNHOLETESTTIME DROP IN WATER LEV L-INCHES RATE MINUTES <br /> ES AFTER SWELLING INTERVAL-MIN. PERIOD t P R D PER INCH <br /> o u to 10 d 9 4-No10 assia > - <br /> - <br /> PLOT PLA 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 v at ation 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 /> SYSTE EVAT Q 9 7 SCq �G bo ' <br /> 4nLr,ti N I <br /> Po a <br /> T a o-JO i i 7a �"• •` <br /> TN <br /> Bt�cL <br /> Iy lU \•A•t, 4 �-Q <br /> u , <br /> I,the undersigned,hereby certify that the soil tests reported on this for ere made by me n accord with the pro c7d as and methods specified in the Wisconsin <br /> Administrative Code,and that the data recorded and the location of the sts are cor1e%to the bestyf my knowledge a d belief. <br /> NAME (print): V TESTS WERE COMPLET ,GON- <br /> I vd-cf•Ic o nS a— / <br /> ADDRESS: CERTIFICATION NU BER: PHONE NUMBERloptional): <br /> ct: r w f% s N lS'-P9 9' <br /> C GNGN <br /> iTURE <br /> DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. <br />