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INDUS T Y, OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, C DIVISION <br /> LABOR AND PERCOLATION TESTS (115 MADISON BOX 7WI 53707 <br /> HUMAN RELATIONS <br /> (I LHR 63.0911) &Chapter 145) OVt LjI <br /> •LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: OT NO.:BLK.NO.: SUBDIVISION NAME: <br /> E 114NE 1/4 8 /Is N/15 wp )W LA FOLLETTE TOWNSHIP CSm U! 3 <br /> URNETT HARLES MER MAILING ADDRESS: <br /> 198 6TH ST. HUDSON, WI 54916 <br /> USE DATES OBSERVATIONS MADE <br /> BEDRMS: rER AL DESCRIPTION: STS: <br /> Residence ��^ ❑New Replace — — — — <br /> RATING:S=Site suitable for system U=Site u(n�suitable for system �IpBp,,q�g r�,�p� <br /> Q_ �TI❑�. Np ! ING S ❑u E. Qy S I❑u ODS � .RLCL116AA�C1'lIVPIA�E tl6Lonal) 12 ' X 49 ' <br /> If Percolation Tests are NOT required D I RATE: 7LF'—'�J the to ted <br /> 9 If any portion of the tested area is in the NSA <br /> under s. ILHR 83.09(5)(b),indicate: 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 Es—T—MTH—EST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B-1 89 96.9 ' NONE >80 114' 61 al, 6-1/' h 91, 1/-/3' h oil, 13-1/' h al <br /> B 2 79 95. 92 ' NONE >79 I4' 61 al, 6-13' h air 13-13, h ail, /5-11' in al <br /> 13-3 78 95. 75 ' NONE >78 /-6' /1 al, 6-11' h o1, 11-12' h ail, 41-11' h of <br /> B- <br /> B- <br /> 13- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 P RI D2 PERIQQ3 PERINCH <br /> P- 1 36 NONE 3 <br /> p_ N N <br /> P- <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 theirlocationon the plot plan. Show the surface elevation at all borings and the direction and percent <br /> of land slope. 93 . 0 <br /> SYSTEM ELEVATION <br /> T_ — <br /> A---�I <br /> BM. HORZ�. & VRP IE�L.- 1.00,0'1 -_ 2% <br /> -- BOTTOM OF SIDING _ -- I. { . . �- �- O - <br /> Z' <br /> TN <br /> - <br /> _ . <br /> ?00• <br /> $bIL BO2INGS , -PROPOSED .WELL. LgCRTION <br /> -- . - — t <br /> P PERC TESTS U <br /> FIRE !`x 24253 31 <br /> IVY <br /> I , <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and miloods 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 knoneedge and belief,`°f9/-ct,.F 5-5 ; 9,2 3Y ' <br /> NAME(print . KEN. SHAM <br /> H , � i.I TESTS WER LETED ON: ss5—.s4-1993 <br /> ADDRESS: 7935 AIRPORT r` WEBSTER WI 54893 CER jffTION NUMBER: PI10 DYNE 119�i�pp9Fal): <br /> f CST JS133Gz�N4�7ATURE: ��11 Yh Yf4 tlU (f VU VUPY <br /> DISTRIBUTION: Original and one copy to Local Authority.Property Owner and Soil Tester. <br /> D I LH R-SBD-8395(R. 10/83) —OVER — <br />