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DEPARTMENTOF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> 7969 <br /> LABOR AND . CC P.O. BOX <br /> HUMAN RELATIONS , PERCOLATION TESTS (��J) MADISON,WI 533707707 <br /> (I LHR 83.0911)& Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: OT NO.: UC NO.: <br /> 1/ W1/ 2 /T?}1N/R16E1. W E o Ac2�s <br /> COUNTY: MAILIN ADDRESS: <br /> ELE RD E. <br /> USE DATES OBSERVATIONS MADE <br /> ,,,syyqq <br /> NO.BEDRMS: COMM R AL DESCRIPTION: PA15F� TS: <br /> AResidence NNew ❑Replace I IO_ .7 _ I I IO — <br /> RATING:S-Site suitable for system U-Site unsuitable for system L— I l <br /> Q.__ STI❑Q , M29 S'. ❑0 IN G"S ❑U E: 50 S I❑l ❑GILDING T RECOMMENDEDDSVSTEM:loptionall <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.091511b1,indicate: 11� Floodplain,indicate Floodplain elevation: N A <br /> PROFILE DESCRIPTIONS <br /> BORINGTOTAL DEPTH N <br /> R UDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED TO BEDROCK IF OBSERVED ISEE ABBRV.ON BACK.) <br /> B- I q7 qq. 0 o E (�� fl-� B(Is 8- b� rJls NlswR�mdm <br /> 13- 2- 2 I o - �9 0'7131G 7 5�$a11 s 59- ,60 FNIS W 2 cr11d Alffff <br /> cw <br /> B-3 .5 I go t4leI '7-(A I$Nls G9- 7L BN Is WRGI'h 6 <br /> B- 671 0-8 ,Mks $- Idl BN)s log- ZBNIs w m els <br /> b-�811s g- 5� rlls 8- �3 Bdlsw RomdhLo <br /> BS 'fZ <br /> 2 $ 3 2 c o <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. RIOD 1 !918100 2 PERINCH <br /> P- I 2q N 0 <br /> P. 2 S RL 3j <br /> p- 3( V I. <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 Qb. 6 <br /> - � �Rt.E •'.I(�o U oaf e J_ <br /> IPO � "I b IBB <br /> s <br /> t_ 3 <br /> qRMS - -- - - <br /> "� Nor t� E �� t _ N <br /> i <br /> I, the undersigned, hereby certify that the soil tests reported his form were made by me with the procedures and methods specified in the Wisconsin <br /> Administrative Code,and that the data recorded and the location of t to the best of my knowledge and belief. <br /> NAME (print)i TESTS WERE COMPLETED ON: <br /> ICH op - <br /> �!S <br /> Lz — <br /> ADDRESS: CERTIFICATION NUMBER: PHONE UMBER optionall: <br /> 5 W <br /> 217k W( Eas6rz Wl- 3�7o 15- 66- `�6 <br /> CST SIG ATURE: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> nn uR cwn AngS IR inmit —OVER — <br />