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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, IVISION <br /> LABOR PERCOLATION TESTS (115) P.O.PBOX 7969 <br /> AND <br /> HUMAN RELATIONS MADISON,WI 53707 <br /> (I LHR 83.0901 & Chapter 145) J�� � Lp h�j n <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: OT NO.:BLK-NO.: SUBDIVISIONNAME: <br /> '/ 2 /T 10 /R 16 E niqKIAND 60Ut SOT <br /> COUNTY: MAILING ADDRESS: <br /> $UKI 97 IOWWI 0 U (5 C SO W1 5L4M <br /> USE DATES OBSERVATIONS MADE <br /> �5 NO.BEDRMS.: COMM ER IAL DESCRIPTION:_ <br /> ESCRIPTION: PROFILE DESCA <br /> I ESTS: <br /> �lR esidence 2 ____11New ❑Replace I q _ <br /> /RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: INIOUND, IINAROUNDPRFSSURE: SYSTEM-IN-FILLOLDIN TANK: RECOMMENDED SYSTEM:loptional) <br /> JKS ❑II I NS ❑U 1S IU ❑S OU I CON C o <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: I I Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH T GROU DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- I `15 NONE 7'15 0 -bB1Ms 5-31RrA5 31 -75pWms <br /> B-' - 80 "31.3 NONE 7$O C) -Gblrns 6 ,i4?_ Zwts y2^%FNi <br /> B-3 qd 97.E NONE o-5EImS 5- �GRl1s 3b-goBNfns <br /> B-`f- ']2 03. o " .5'glms 5-WfKm5 46 - 7Z �NWIS <br /> B-5 ?Z (7 7 72 0 '�B1P1s -3q R�+s 3�-? LT3N>ns <br /> B- 6 NONF >$o D-q B/Iris 14 - L %A -K WS 4q -SO 13n�Ms <br /> PERCOLATION TESTS <br /> lTE57 DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RAPER IINCH ES <br /> T NUMBER INCHES AFTERSWELLING INTERVAL-MIN. P RI D1 PE RIOD2 P R <br /> P- I 3 2 4 `e /x <br /> P- 1Zt 13 N 1% 1 17i I7/Q <br /> P- /x <br /> P- 24 NO <br /> P- <br /> 9/!b 3 <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 locaattiion n�the <br /> �plot <br /> ,�plan. <br /> Show the surface elevation at all borings and the direction and percent <br /> of land slope. X111/A119L Rr—A /7L.EI rc&VI <br /> SYSTEM ELEVATION <br /> 3CIA� <br /> �BM 190 Mill.IN .15"R'rt� aaK ._ t <br /> I� I' Rc PL <br /> ��ORti � � GULL <br /> UFT PU MP 'Ferlu I few LAKE <br /> �Of,l 'PL>1 ENT _ se y , _ <br /> '911 P a TN <br /> PL &ILD6 $ <br /> 6gRA61- <br /> ilk <br /> DO <br /> - <br /> r PL <br /> _ 50 <br /> I,the undersigned, hereby certify that the soil tesreporte d 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 he location of the tests are correct to the best of my knowledge and belief. <br /> NEf$D�.S will <br /> NAME print): TESTS WERE COMPLETED ON: <br /> j�tCtfARD �fO�KIJ�S _�_`II0 '90 <br /> ADDRESS: CERTIFICATION NUMBEH IFHUNt, NUMBER(optional): <br /> W5] w I 5`F S`13 36-70 <br /> CST N TUBE: <br /> M <br /> DISTRIBUTION: Ongmal and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD6395(R. 10/83) —OVER — 1. <br />