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INDUS DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, � DIVISION <br /> HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 5379079 53707 <br /> (I LHR 83.0911) &Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP MALITY: LOT No.:BILK.NO.: <br /> COUNTY:!/4 1/4 Z- /T41 N/RISEIO k <br /> PRSs <br /> MAILING ADDRESS: <br /> v J tiZ n1 I LA 2H 8'1 +h AJ• N. N. sT 0 <br /> USE <br /> DATES OBSERVATIONS MADE <br /> NO.BEURMS.: COMMERCIAL DESCRIPTION: PROFILE DE I P NS: ATION TESTS: <br /> Residence 2— ®New ❑Replace I _ 30 <br /> - 93 3 - 3a - 93 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVEcNTION,AtL: MOUND: IN-GROUND-PRESSURE:SYYSSTryEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> ®`� �U ®" �U �S ❑U �S ❑U EIS IZU /'nnJ✓rnmt.,.i,,t <br /> If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)Ib),indicate: �— Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL D P HTO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH <br /> NUMBER DEPTH IN. ELEVATION] OBSERVED EST. HE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.1 <br /> B- I 12 9.1 NAE (0151/n5 Com (0 1 8Nw1s (0° 13r4mswFrinni <br /> B- 2 1q.0 NoNrz (o$ O- (mms 6- (08Suw" 6t-'1Zb►+Iy,,swgl_mdrv, <br /> B- U-3r�� Z Q 11 N 0 Nr= 4 -11 <br /> p D' S 31rhs 5 -(oN 60TI5 (9`-1 -'7Z 6+ms V,9 cm <br /> md o-1fi <br /> B- I IZ l60-Z- ONE 5O wRcmd#not <br /> B 5 12 2-3 N� 0- (, 61r►ts �'S88N►�s S`3- 7Z13N►Ks t,IRcnldmo <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTER SWELLING INTERVAL-MIN. P RIOD 1 P I D2 p R PER INCH <br /> P- O ND IID b <br /> P- 2 Z YY 2 <br /> P p lU 3 <br /> P L IA4 3 <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 E EVATION q(o . 370 <br /> f <br /> : <br /> _5404 k, L <br /> d_. <br /> 51 - <br /> - <br /> : <br /> y0 <br /> _T <br /> f ' <br /> r <br /> 11 � <br /> ' 4 <br /> I ,,v <br /> _. <br /> I,the undersigned, hereb certify that the soil tests reported on this form were made by mein accord with the procedures and methods specified in the Wisconsin <br /> Administrative Code,and t at the data recorded and the location of the tests are correcIte m know a nd belief, <br /> NAME (print): ESTS ER OMPLETED ON: <br /> _30ADDRESS: t/ ERTIFICATIION NUMBER: PHONE NUMBER(optional): <br /> z7 G3V ST NATURE: <br /> DISTRIBUTION: Original and ondcopy to Local Authority, Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R. 10/831 —OVER — <br />