Laserfiche WebLink
DEPARTMENT OFREPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY., - - DIVISION <br /> LA13OR AND P.O. BOX <br /> HUMAN RELATIONS PERCOLATION TESTS (115 MADISON,W153707 <br /> 3707 <br /> (1 LHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP{MHNW44i` it . LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> IVE'14SFS/ /T3 N/R/ I (pr)W TR DF LAKE — f <br /> COUNTY: • BUYEH'S NAME: MAILING ADDRESS: <br /> urr 7"0 Ad A44 v / / <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: I�-yI PROFILE DESCRIPTIONS: PERCOLATION TESTS: <br /> Residence s/ap of �/ A �LJNew ❑Replace I /� —4-1 pt <br /> RATING:S=Site suitable forr system U=Site unsuitable for system '-F i- 'F I <br /> ONVENTI OONu . MNs.❑U IN-GROUND-PRESSURE: SVS❑TEM-I®ILL HOEIS TANK: RECOOMME, zA SYSTEM:(optional) <br /> LK�/1J S II[�]y)S U S U S N1{i' C�.j /•y`Y YET M <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: S Floodplain, indicate Floodplain elevation: IVA <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 /> 3/ , � 4-/ � <br /> B- l 7g -jr46 do Al.1-- �7 78 N 18-k .srom M.1M-141,s -7p, 8k, if y <br /> B-di 96 1'5N �� r, j Sr g-i/" DK BIS r <br /> ON-e <br /> o-r% C-r, 5'1 k,Ts, 7-,077",94/1S/27-39" I'9/VS �/k'G o <br /> B-3 77 �d% 9L /V o IV4- Z' 77 3 -rrf'. re v/v). s AA ed <br /> B 8 / ��%S� d4/ 8/ 4488,' Iry -f s "��-'D $y <br /> o-7�,DK 8- 9e f - . i1-5 <br /> B-5 �G gr, OA No/V� � G ) -5/" cd <br /> e- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD2 PERIOD PERINCH <br /> P_ o ` 33 A 3 Y 3 r <br /> P- 36 AletvL 3 <br /> P- 3 3/ No *r 3 3 3 A <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 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 9x.97 <br /> W svt R 'r L <br /> a <br /> j r Wf� <br /> A10M41c*RF 0Rlr/k,9L rvalr ��'(�r7' �J - - Ba oa bE 0 RACK <br /> /Iv Alive, rNl_'C- yi Pr 3M-4r <br /> �,r71Ph0� lw�ke. f/ <br /> 4PrA?NoW. it.fo8E e <br /> /NSL4Ll:.ff-0 f M.e.e1� p 93 �N <br /> 35A-GREs <br /> PRO xvp7D, Y� <br /> 140 use <br /> I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wiscorrl'( - <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. ZbWeff'5f = +. <br /> i <br /> NAME (print): TESTS WERE COMPLETED ON: I '/ /� 0 <br /> J 141179Jty 7 /R2 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> �{oo / D uN L �StgAL UL i G 7a <br /> � CST SSI G�NfATU.RyE: 1 . I <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-8395 (R. 10/83) —OVER — <br />