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DEPARTMENT. OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LAFORAND PERCOLATION TESTS (115) MADISON W153707 <br /> HUMAN RELATIONS <br /> 11 LHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> NW'/ E '/ l'f /TION/R151 (.141 Jat.l<S 0P is NAs o R q0RE-5 <br /> COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: <br /> nrLfr G4K �A #W 35t7051reN wr �V7Z <br /> USE DATES OBSERVATIONS MADE <br /> qq NO.BEDRMS.: COMMERCIAL DESCRIP ;8New <br /> DESCRIPTIONS: PERCOLATION TESTS: <br /> il'1Residence z TION: y8New ❑Replace 14 -7-7-- 171 <br /> / —7-7 —� 171 /,—�f z—v" <br /> RATING:S=Site suitable for system U=Site unsuitable for system f7 L / f7 v / <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEMaoptional) <br /> ®S ❑U ®S ❑U QS ❑U ❑S OU I ❑S ®U I C0NV1e#T10QJL <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.09151161,indicate: Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL D PTH 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- / 84 9� 7 ,vouE > $0 0-6'Wsl CIO B►O Med s <br /> B- 2 95 99' 8 > 4-7 0- 6 BIk l 6- S ;6rrj Med <br /> B-3 86 99 I > p 0-S Blk S( 5 - 36 lira ma s <br /> B- So 9Y• '> So 0-6 SIKsi 6— S� b-0 Meal.S <br /> B-S > Sts 0 'b INKSI b' SO Bra Meal S <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD PER PERINCH <br /> P No 0 3y 3 _3 3 <br /> 33/ 3,144 <br /> P- A10 6 ymt Y/4 3 <br /> P- <br /> P- <br /> P- <br /> PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- <br /> zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all boring an the direction and percent <br /> of land slope. �L✓L O _F14 100 PAIL IIJ 6450 of 6 )a.ckomw <br /> SYSTEM ELEVATION 5`72- 3w%- a SWe-ill Yo'ExQf-t Wk.,Va. A#OW <br /> •s y 5#OAL <br /> a LA <br /> \ 3 <br /> N <br /> *$M <br /> J T <br /> 7 S' <br /> lub <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 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 /> NA (pnppt): TESTS WERE COMPLETED ON: <br /> 6 -) --9' 7 <br /> ADDRESSCERTIFICATION NUMBER: PHlsONE NUMBER(optional): <br /> t <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. all Ll <br /> DILHR-SBD-6395 (R. 10/83) OVER — - <br />