Laserfiche WebLink
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> BOR AND PERCOLATION TESTS (115) VISION <br /> HUMAN RELATIONS <br /> P.O.MAD,P.O. BWI 390 <br /> L CATION: SECTION: TOWNSHIP/MUNICWRLITV: TN BLK.Np.: SUBDIVISION NAME: <br /> Sc I�Sc/ zrr /TsBN/R/BE�rIW Waou RIVE' - Foa — la <br /> I COUNTY: OWNER'S BUYER'S NA VE' IMA' <br /> DD S: <br /> fi ,aNE %/ WAR RE n: E'^/CCLCN.�11 9d/ Mrl/ Si[/i <br /> USE DATES OBSERVATIONS MADE <br /> (� NO. EDR CO M R. A DESCRIPTION: S: <br /> ['�R e.mance 2 _ - ETNew ❑Replace 5- 5 - b•Z S <br /> I RATING:S-SitesuitabeforsyRem U-Siteunsuitibl.1myotam <br /> r ODST❑�. M��.�� INGROU� ❑� nJ I��L O❑LDING T�ANK:RECOMMENDED SVSTEMaoptional) - <br /> It Percolation Tests ere NOT required DESIGN RATE: I If a. gon!ofn of the"a Ira is in the <br /> under s.H63.09(5)(b),indicate: Floodplainndicate Floodplain elevation - <br /> -^ PROFILEDESCRIPTIONS-'- - -- -- - — - - -- . -_ <br /> BORING TUTAL - PTH TO GROU DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTHIN. ELEVATION OBSERVED H TO BEDROCK IF OBSERVED ISEE ABBRV.ON BACK.) <br /> ♦ (}/rn aT 11 <br /> B- I 7 �. /Cela 6" ACNE 10 "6/ T5 . 6.2 •' —, S <br /> Ze G i r G c/ 3 S <br /> B- 3 72 !02'-0^ " o r rs GG / S <br /> B- 5 7Z i02i0,. rS-n 3 [ TS <br /> B- G 72 TS 6 " s <br /> r PERCOLATION TESTS _ <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES 1 <br /> NUMBER INCHES AFTERSWELLING INTERVAL MIN. t p RI O PER INCH <br /> P- I 3U. f\!0 iU 3 <br /> P. 2 <br /> P- J 36 NO <br /> P. _ --- <br /> P 1 PP=_ <br /> PLAN VIEW: Show Iarations of percolation tests, sail borings end the dimensions or suitable out areas. Indurate scale or distances. Describe what are the hall! <br /> ental and vertical eleyadon 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 slop. \ I <br /> SYSTEM ELEVATION <br /> rtRE_nI✓' rr�skl THavE`yu�>` C 43pRE c5; <br /> C5 PIZrn c EsT <br /> h'r f p/•�/�S.rt��n�� <br /> 1 <br /> rE�- <br /> \�I <br /> 100 , <br /> R.al <br /> ♦•t sloe-`K_ {---h_ Q;, = l3 se <br /> ti <br /> d_�c_ 2T330 DIST I <br /> w w �T v1 <e' <br /> F-71 61,P <br /> .� I,JtLC 7D Vp-F SU ' FRom .D k'cA!n/ rC �ICTE)� I.RKF - � <br /> i, the undersigned, hereby certify that the sail tests repotted on this form were made by we in accord with the procedures poll specified in the Wiscoul <br /> AdmimistratiaeCodre <br /> e,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. \`• -� <br /> •. <br /> INANE(print): _ TESTS WERE COMPLETED ON: <br /> ADDR ESB: CERTIFICATION NUMBER: PHONE NUMBER cptiona <br /> rj 2 130y a./ 2 .S,REA,1 /i/, s 5 z ear ave[ — _ '_;.I <br /> - - CST SIGNATURE: <br /> DISTRIBUTION:Original-Local Authority.2nd all Bureau ofPlumbing.3rd prV-Property Owner.43h pageSOB Tester, <br /> DILHR-SBD6395IN.03I811 <br />