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INDUS TMLN ui 1.�lE�yOR Y ON (SOIL BORINGS AND aArc I r & BUILDINGS. <br /> INDUSTN Y, Vf� i lJ DIVISION <br /> LABOR AND PERCOLATIOP.O. BOX 796 <br /> N VESTS (115) MADISON VVI 3709 <br /> HUMAN RELATIONS <br /> (I LHR 83.09(1) & Chapter 145) <br /> LOCATION: SECT-17ON:T t, p ® y� TOWNSH/IP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDI VISION NAME: - <br /> 5 4 <br /> Si5 <br /> L100 <br /> COUNTY: `INN ER'S/BUYER'S NAME: MAI LI G ADDRESS: <br /> IDv-"Pt�' IS'f-e..�e_ Fe�ic z rx rrd ya rre.. ✓�wr><5 r.w- 8 O <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMI COMMERCIAL DESCRIPTION: R FIL DESCRIPTIONS: PERCOLATION TESTS: <br /> Y'Residence I 3 ZNew ❑Replace I.Z /Z I /SS 14- /3 /F <br /> RATING: S-Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUfVb: �/� IN GROUNDPRES$URE: SYSTEM-1 N-FI ILHOLDI NG TANK: RECOMMENDED SYSTEM:(optional) <br /> as ❑�� ❑ SEU (tiI�❑s EU <br /> 11 US EU NA <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)(b), indicate: 3 . 3 Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- s# 8'- 24 J� I Rig, glai <br /> z =� <br /> B- Z 7 u3- it,,2 > 7P ' p- �' _ � I 5 � - 2-Y Z9°-72"- 05 <br /> ' I I <br /> B- 3 98 Tai 21117Z'zc5 28 <br /> T <br /> B- I -2z° - <br /> B- -7 92 > 74 " ft' c� fie R- <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. PERI D1 PE BI D2 P E R PER INCH <br /> P- 2 25° C� I . p .8 6 . 4, 0.3" 3 . 3 <br /> P <br /> P <br /> ! ' <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' qs's <br /> N <br /> m <br /> - T N <br /> ' - 3N' q -------- P•=Pe5<d <br /> in N=11 ,.west <br /> --- 8 �--� s! _._. 13< Z i Ele. _.,too•Oo .. p.5y0 <br /> g4-98J k�„P-3'' � B-�0 <br /> pe= C�=P o6-z 1 d-^ 4 II <br /> 5 .t-i o8.1' _@ Ila <br /> �- ar• %9•B <br /> lithe undersigned, hereby 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 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 /> w , .,f q - 4L - a6 <br /> ADDRESS: /l CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> ox sli� g 5T00 03 1 ''63 - zzcf0 <br /> CSTS NATURE, <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. - <br /> DILHR-SBD-6395 (R 10/23) -OVER - <br />