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REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> DEPARTMENT OF DIVISION <br /> INDUSTRY, PERCOLATION TESTS (115) MADISON WI 3707 <br /> 69 <br /> LABOR'AND' <br /> HUM,tmq RELATIONS (ILHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/SMV: OT/ 0.:BA AO.: SURDI ISION NAME: <br /> w1/Sw '/43 /TV N/Rj�llor)w swv -rr N� fd /AT <br /> COUNTY: OWNER'S BU ER'S NAME: MAILING ADDRESS: S71( C <br /> p <br /> DATES OBSERVATION MADE � S�Da <br /> USE PROFILE DE CR TI TS—FP ER OLATION TESTS: <br /> NO.BEDRMS.: COMMERCIALDESCHIPTION: <br /> n ONew ❑Replace �0 l �0 <br /> ®Residence d—,— <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM (optional) <br /> ®s ❑u ©s ❑u ®s ❑u ❑s au os ou <br /> If Percolation Tests are NOT required <br /> DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.09(51(b),indicate: Floodplain,indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL D PTH TO GROUNDWATER-INCHES CHARACTER F WI <br /> OSOIL TH THICKNESS, C01,019, TEXTURE, AND DEPTH <br /> NUMBER DEPTH I N, E L EVA TION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON ACK.) <br /> B- I 7�- 9. 1 ew-2 > ) 1�- YB I" tits 8 " C5 <br /> B-:;L-- a q�. 9 7 nnLj s 4 " L r <br /> B- "`ie <br /> B- S- 7 � 99 ' 7�- "8 as <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RAPER INCH <br /> ES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERI D1 PERI002 P R <br /> P_ 0 U o <br /> P- a,Y �o �- <br /> P- p d 6 <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 dis ances. 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 boi ings and the direction and percent <br /> of land slope. <br /> SYSTEM ELEVATION 9 (V sc g L r / '"= y o ' 4 s,E A,'Q *d <br /> fie'*' lll.:v pOr� 4 <br /> Bps¢ s6TIP� <br /> oQ/T- B '9 I0.1) <br /> j1de,and <br /> wj I ) ,'s6S, ort <br /> FA, ee 1 © o <br /> /r'I.rer 114.. it f.nG/s'r Qt <br /> I ) <br /> ereb certify that the soil tests reported on this form were made by me in accord with the procedures an methods specified in the Wisconsin <br /> and hat the ata recorded and the location of the tests are correct to the best of my knowledge and belief <br /> TESTSWERECOMPLE EDON: <br /> /nS <br /> I CERTI FICAT ON NUMI HONE NUMBER(optional): <br /> ADDRESS: <br /> CS NA URE: P <br /> Hr <br /> )ISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> LHR-SBD-6395 (R. 10/83) —OVER — <br />