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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> HUMANAN L PERCOLATION TESTS (115) P.O. BOX 37969 <br /> 707 <br /> HUMAN RELATIONS c MADISON,WI 53707 <br /> (I LHR 83.09(1)&Chapter 145) ST 07�a <br /> LOCATION: p SECTION: �q TOWNSHIP LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> Sw1/4 /V �Y � �VoN/ 6I(odw t, <br /> CQUNTY: OW ILH- UVER'S NAME: AILING ADDRESS: <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCR TION: PROFI DE RIPTI NS: ER OL TIO TESTS: <br /> A2esidence h ❑New Replace d <br /> RATING:S=Site suitable four system U=Site unsuitable for system 6 <br /> CON❑V ENTIONAL: MOOUND:� IN-G�ND-PRESSURE: SYSTEM-IN-FlLLHOLDIN[gU [9SG TANK:RECOM N}�NDE�D$N�%EM (optional) <br /> If Percolation Tests are NOT required DESIIGGN RATE: S If an U este a is y portion of the tested area is in the <br /> under s. 1118 83.09(5)(b),indicate: Floodplain,indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COL R,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON CK.) <br /> B- I 3 C� E �' p.ia" C - �/ ,a=IS'"R�t s � "- 3c" °� S 4• .wcT <br /> B- 3a— �, / c��ld" CSF, fa"- r,R- Gds /6" 3 •' � S (�, yr+cr <br /> B- !I ; 3�w <br /> B_ J <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RAT <br /> NUM ER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD PE RIOD2 PERIO ERIN <br /> P- <br /> P- <br /> P- <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 dista :as. 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 borinE s and the direction and percent <br /> of land slope. <br /> SYSTEM ELEVATION / <br /> -5—r �I= YCj f u h Cr- s4 ll7GT�J <br /> ` S <br /> -7Sfi Q /C3 <br /> Q16�� n..tt11N"� � cl C�61N �N <br /> 4'21 ►13 ,T <br /> F <br /> �• L� 6 � r�1 ( o � Safi �INI� <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and met ods 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 /> NA (pri q: TESTS WERACPL N: <br /> III <br /> D RESS: CERTIFICAUMBER: PHONE NU BER optional): <br /> s- /T <br /> A E .. <br /> 'RIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> R-SBD-6395 (R. 10/83) —OVER — <br />