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DEPARTMENT OFREPORT ON SOIL BORINGS AND <br /> SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> 7969 <br /> LABOR AND PERCOLATION TESTS (115) P.O. BOX <br /> MADISON, <br /> HUMAN RELATIONS SON,WI 533707707 <br /> (ILHR 83.090) & Chapter 145) s1-0- a <br /> LOCATION: SECTION: TOWNSHIP/MHW161PRt+T': LOT NO.:BLK.NO.: SURD VISION NAME: <br /> :6j:1/4sw '/4 az/TA/ON/R/SE (0 sAeK a <br /> COUNTY: OWNER'S BI.IifIiSS NAME: MAILING <br /> MAIING ADDRESS: <br /> E Al 3 <br /> S K. Z-V MAISS <br /> USE DATES OBSERVATIO IS MADE <br /> NO.BEDRNIS.: COMMERCIAL DESCRIPTION: PPOFILE ESCRIPTI NS: PERCOLATI <br /> /1 /� <br /> ON TESTS: <br /> Residence -3 NNew ❑Replace /� it /� ,Ie7 <br /> RATING:S=Site suitable for system U=Site unsuitable for system d <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FI LL HOLDING TANK: RECOMMENDED SYSTE :(optional) <br /> L"S/ilS El I ®S ❑U I IMS El 0 AQ ❑S (til 414111 'XSa' <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(6),indicate: �/q- <br /> Floodplain, indicate Floodplain elevation: N'4 <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, CO OR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON ACK.) <br /> B- 73 97 AMAIK 69, Skns "417.5, S" IVOT. <br /> B- a 7 97 . IMAIF „ S a" 5 11 <br /> B- 17-6 17' NONE98' N,01119 70 <br /> D 6S4 <br /> "BB s 66s""B,64sS <br /> PERCOLATION <br /> TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PER D1 PERIO 2 PERI PERINCH <br /> P- 3 J �8 <br /> P- 3 aA1441E -3 f 7 3 <br /> P- z C90 % 3 <br /> p_ - <br /> P- <br /> P- <br /> PLOT PLAN: Show locations of percolation tests, so!'/bo <br /> l or hgs and the dimensions of suitable soil areas. Indicate scale or this antes. Describe what are the hori- <br /> zontal and vertical elevation reference points and so <br /> 1,9V33 <br /> their Iod�Ngn on the plot plan. Show the surface elevation at all bo ings and the direction and percent <br /> of land slope. ' <br /> SYSTEM ELEVATION (QREP1AcEMENT syr t M EL - 17.3,33) <br /> SFO y r 91 S <br /> Jae/ � <br /> P� <br /> / ` 4 \e` <br /> TN <br /> / 7'RFF — EL 106' <br /> °9, q SoJ� .BofP/N6S <br /> if°opry A t5sls <br /> 0AYNF1&L` <br /> I,the undersigned, hereby certify that the soil tests rep brted o for 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 are correct to the best of my knowledge and belief. <br /> NAME (print): TESTS WERE C MPLET DON: <br /> �E� S tRABf L G 7 <br /> ADDRESS: CERTIFICA ION NUMB R: PHONE NUMBER(optional): <br /> 7- /SEB - 8 33az 3 -a9 d <br /> CST SIGN T RE: <br /> \TRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> '3-SBD-6395 (R. 10/83) -OVER - <br />