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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> 969 <br /> LABORAND P.O. BOX <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON,1&153707 <br /> (1 LHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: TOgNSHI IMHNfefPAttFY- OT NO.: .. SUBDIVISION NAME: <br /> �/ �/ /T /q/ (p ? arc. �� �ucr Cs <br /> COUNTY: MAILING ADDRESS: Z_ <br /> Com/ )ln 5 ' rye / i7^r <br /> USE DATES OBSERVATIONS MADE <br /> NO. DCOMMERCIAL DESCRIPTION: PERCOLATION TESTS: <br /> Residence <br /> New ❑Replace Z's <br /> 16 s�1 / �C /�/��✓�, <br /> RATING:S=Site suitable for system U=Site unsuitable for system %(/ <br /> OENTI ON . M UJV . IN-GE: SVS❑TEM-IN-F,ILL OL❑DING TANK:RE�,OMMENDED SYSTEM:Iop ionall <br /> S ❑U ®SOU SO�DESIGN RATE: S ®U S U <br /> CC <br /> If Percolation Tests are NOT required If any portion of the tested area is in the <br /> under s. ILHR 83.0915)Ib1,indicate: Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUIN DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH <br /> IN, ELEVATION ,OBSERVED -H-E-S TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) <br /> B-J �� 7l,32 5 tluq_ , <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> 'L• EST DEPTH WATER IN HOLE TEST TIME DR I WATER LEVEL-INCHES RATE MINUTES <br /> f NUMBER INCHES AFTER SWELLING INTERVAL-MIN. P RI D1 PEaI D P PER INCH <br /> P- / <br /> P- 5 <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 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 slope. - <br /> SYSTEM ELEVATION <br /> 1 \ I <br /> ^1��� G <br /> 'lY( <br /> 0 <br /> 1 �A <br /> o .,bw'�7q_ <br /> I, the undersigned, hereby certify that the soil tests reported 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 the location of the tests are correct to the best of my knowledge and belief. <br /> NAME. print ITESTS WERE COMPLETED ON: <br /> ADG� CERTIFICATION <br /> NUMBERPONEUM optionall: <br /> CST SIG NATU 1E n <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> ILHR-SBD-6395 (R. 10183) — OVER — <br />