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INDUS <br /> TTRY,Y, OF REPORT ON' SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSDIVISION <br /> LABOR P.O. BOX 76 <br /> HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> (H63.09(1)& Chapter 145.045) <br /> LOCATION: SECTION: TOWNSHIP'"""^"^'^^• 'T 1_01/0.:B NO.: SUBDIVISION AME: <br /> �I 1/, 4 a /T 90 N/RA a(er)w so <br /> C UNTY: OWNER'S BUYER'S NAME:�- MAI LIN ADDRESS: <br /> vT� n P p s �t v 7` S�1 e <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMER IAL DESCRIPTION: air PROFILE D RIPTIONS: E CATION TESTS: <br /> Residence PJ�New ❑Replace ^ ,/)_ OL/ <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ON ENTIK ' jMOUND: IN_ -GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional)SEIvN[S ❑U C[S ❑U ❑S ®U ❑S ®U C 0 V Or <br /> If Percolation Tests are NOT required DESIGN RATE: If an <br /> L y portion of the tested area is in the <br /> I <br /> under s.H63.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL ELEVATION D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH <br /> NUMB/ER DEPTH IN, OBSERVED EST. GHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B 44I $� �C � /UOW`Q 7b'o St4, � " lemrd/ <br /> Btl- �'U y. a � f j �p i4wLr " GS " hnr d s <br /> II <br /> B-q 8© 74' 1 yge 9 „ xLS- k '' f( � <br /> B- S ° 77 6 it 7 rho <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. P RI Dt PERIOD2 p R PERINCH <br /> 3// : / <br /> P- M C s sa 7 / <br /> P- A '71e 3, 3 <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 horn <br /> zontal and vertical elevation reference points and 1kiow jheir I tion on a plot plan. Show the surface elevation at all borings and the direction and percent <br /> of land slope. ' %V Cn4�� <br /> SYSTEM ELEVATION R /q <br /> p�erc . <br /> r <br /> fav 1c3�, 4 ,.�Q <br /> 40 <br /> TN <br /> gQ r•e tl� <br /> } <br /> U r <br /> Wltt /`G �iN`f <br /> r7 t <br /> - � rRY�i tn. pr1 pd.R, .: SGti tr <br /> Nor Sdk alj-� 444T'C <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures 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 (printl: TESTS WERE COMPLETED ON: <br /> ed-e 'r-1 C, tR j4e to 6L It Vie - P - f 9r <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> sTr iNi r, 3 7�s <br /> IGN TURE: <br /> " <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DI LHR-SBD-6395 (R.02/82) —OVER — <br />