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s r.U. BUA SUB <br /> MADISON,WISCONSIN 53701 <br /> REPORT ON SOIL BORINGS AND PERCOLATION TESTS <br /> LOCATION,: /•, SF+/.,Section'3, TY—N, R iJlt d(or) W,Township or Municipality <br /> _ot No. , Block No. County _Ce / K !S, --- <br /> . r/' C O ivision ame <br /> owner's Name: 1 q V P <br /> flailing Address: j re6A, 4 S t, <br /> FYPE OF OCCUPANCY: Residence No.of Bedrooms Other ^ <br /> :FFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT <br /> )ATES OBSERVATIONS MADE: SOIL BORINGS 1 9— -7 7 PERCOLATION TESTS .r <br /> OIL MAP SHEET SOIL TYPE <br /> PERCOLATION TESTS <br /> TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL,INCHES <br /> NUM— SINCE HOLE HOLE AFTER INTERVAL RATE <br /> INCH <br /> BER ES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 <br /> MIN/IN <br /> Ao4 14tt <br /> C;ri, <br /> f L t <br /> C2 <br /> _P a, A <br /> SOIL BORING TESTS <br /> TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES <br /> VUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) <br /> 41 <br /> PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) <br /> Indicate on the plan the location and square feet of s 'tab 4&a,&jJrN Vj umber of square feet of absorption area <br /> needed for building type and occupancy. qq UU lI^^ /N� d Indicate scale <br /> or distances. Give horizontal and vertical reference points. Indicate slope. <br /> % <br /> F l �t <br /> y C I <br /> ♦ p <br /> N <br /> I <br /> �e <br /> f <br /> 1 <br /> i <br /> 7 <br /> i, the undersigned,hereby certify that the soil tests por d on this form were made by me in accord with the procedures <br /> ,md methods specified in the Wisconsin Administrative ode,and that the data recorded and location of test holes are correct <br /> to the best of my knowlejandbelief. <br /> 11 <br /> Jame (print) l � f`) C tLr1 J00 li !h S Certification No. <br /> Wdress 5Tq r- ` %..k I . <br /> 'ame of installer if known S <br /> CST Signature T`9�1/t, 1 ll ♦i/ <br /> — LOCAL AUTHORITY <br /> S. <br />