Laserfiche WebLink
DEPARTMENT OF REPORT ON,,SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND P.O. BOX 7969 <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON,WI 53707 <br /> LOCATIONSECTION TOWNS HI / ITY: OT NO.'BLK NO.: SUBDIVISION NAME <br /> / : <br /> W '/� 3 ' /iyGN/R//a �IodW GY <br /> C NTV: WNER'S BUVE SNAME: MAIL <br /> [ r e. 3er VfisC S`�° d'9'3 <br /> USE DATES OBSERVATIONS MADE <br /> L[%f(esitlence NO.BEORM1S: COMMR AL RPT ON: New eplece �� STS: <br /> a— - I "7- 3o -8/ 7' 3c 1 <br /> RATING:S=,Site suitable for sychim U•Site unsuitable for system <br /> MEN, <br /> MOUN ❑� IN GROUN lhiE: S❑STEM IN HULLDINGTAN RECOMMENDED SYSTEM:(optional) <br /> EIS <br /> If Percolation Tesu are NOT required DESIGN RATE S I If any portion of the lot is in the <br /> antler s.H83.p9151161, NOT <br /> Floodulain,indicate Floodplain elevation <br /> PROFILE DESCRIPTIONS - <br /> BORING TOTAL DEPTH TO GROUN DWATER INCHES CHARACTER OF SOIL WITH THICKNESS.COLOR,TE%TURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHESTTO BEDROCK IF OBSERVED ISEE ABBRV.ON BACK.) <br /> B- a- IN. <br /> B3 /u,-,) r o 7> f o o 11 . G 4S. � �" C <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROPINWATERLEV LIN HES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. p l sI PF RI D 2 1 P PERINCH <br /> P- C <br /> - <br /> P- <br /> Is <br /> ?_— <br /> PLAN VIEW: Shaw locations of Percolation tests, wil tsorings and the dimensions of suitable soil areas. Indicate sale or distances. Describe what are the hori- <br /> zontal and vertical elevation reference Points and show their location an the pmt plan. Show the surface elevation at all borings and the direction and percent <br /> of land slop. P r t c <br /> SYSTEM ELEVATION 9 y„ �D <br /> ,oma:,. 0 ai <br /> -R�yls�I✓� . I I <br /> /_aFT <br /> n° I <br /> i <br /> I <br /> W <br /> I <br /> Irc�( <br /> LJ I I II <br /> r. b 3 - 1 — <br /> T1 I I I < 7- <br /> 1, the undersigned, hereby certify that the soft tests reported on this farm were made by me in accord with the procedures methods specified in the Wiscon: <br /> Admimistrative Code,and that the data recorded and the location of the tests am correct to the best of my knowledge and belief. \ <br /> 7 <br /> NAM prim TESTS WERE COMPLETE ON: \1 <br /> orl 1G � �1a s �._. 30 � ',� r <br /> ADD ESS: CERTIF CATION NUMBER: P N NUMBER optional <br /> w� s r s� _ sgep3 3 � e,,,s� <br /> . t <br /> DISTRIBUTION:Original-Local Authority,2nd a,Burau of Plumbing.3rd page-Property Owner, If <br /> 0th apeSoil Triter. <br />=1LHR.SBDE3951N.03/811 <br />