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TMENT�OF %t �' REPORT- ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR ANP.O. BOX 769 <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> (1163.0911) & Chapter 145.045) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOTNO.:BLK.NO.: SUBDIVISION NAME: <br /> 4515v101/4 1/ ain /T q401 .icor - AIA- M4 AJ4 <br /> COUNTY: OWNER'S BUYER'S NAME: MAIL N ADDRESS: <br /> &ie4rl -Dom L C. 'TNam vs 1 t etI95 SQA'' OmE. Kv. i)Ly marrii M1p Io ss� <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: PR DESCRIPTIONS: PERCOLATION TESTS- <br /> -- <br /> 8 <br /> � t, / ^ New ❑Replace ( O / �QA QT2/„26-62 <br /> RATING:S=Site suitable for system U=Site unsuitable for system o fD Cl G CEJ ID`f�G <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDING TANK: RECOMMENDED SYSTEM:(optional) <br /> ®S ❑U S ❑ S [:]U s ❑ l >N Vs u%111+ scoPF7 <br /> [underrcs.H63.09(5)(b), <br /> eotion Tests are NOT required DESIGN RATE: If any portion of the tested area is in the A <br /> indicate: �. Floodplain,indicate Floodplain elevation: , <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 13211 qq,S > 13z y'"D7S zs36"<s /o`,C�li &0"/z5 <br /> IN f�t <br /> B- 12U" 5,,y 7 Id" /1tlr�L.5 it <br /> B- q 96," 94 t,% > 9L, 4l/_S <br /> 24' /-5, <br /> B 5 �N yG.s q6" g`t07S45 -2 Sr� '��haoSYWs <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. PERIOD ll <br /> PERIOD RI PERINCH <br /> P_ '' 0 , 1 <br /> P- a gmj IV O i3 tl <br /> P_ 5 15n" <br /> A110 1 57P- <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 OAK.slope. 40 <br /> ELEVATION I' `��rL�7-AILg.r Boat <br /> i <br /> 1 <br /> QVtns r0f'QG <br /> �� <br /> pill, - , I <br /> ai t <br /> Bio` t290' <br /> 10/0 46 940C rW4= <br /> 9D �p"u <br /> i- F�itf041-- aeero� iqF� <br /> [,,��-0 <br /> I,the undersigned, hereby certify that thrded4and <br /> porte on this torrfiWere made by me in accord with the procedures nd methods spec if din the Wisconsin <br /> Administrative Code,and that the data rece loc ion of the testsare correct to the best of my knowledge and bef. <br /> NAME ): _ TESTS WERE COMPLETED ON: <br /> ADDRESS: CERTIFICATION NUMBER: IPHONE NUMBER(optional): <br /> 3 `/70 c-Sq- ©qob 7i -35 3 <br /> CST TURE: <br /> Original 3n;1 one copy to Local Authorn-t/v,P,o!­!! v Ow.ncr a,do S,.,il Tester. <br /> . (,(f�✓ - <br />