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DEPARTMENT Or REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND P.O. BOX <br /> 969 <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON,WI 537073707 <br /> (ILHIR 83.0911) & Chapter 145) <br /> LOCA ION: SECTION: TOWNSHIP/MUNICIPALITY: OT NO.: LK.NO.: SUBDIVISION NAME: <br /> 1/ W1/ 23 /T N/RI5 E for W JAC 'S Mirk OVEL-AM <br /> COUNTY: LING ADDRESS: <br /> DON E MAIh RQE . $LAIKE t4K . ';Sq3LJ <br /> USE DATES OBSERVATIONS MADE <br /> �s5 NO.BEDRMS.: COMMER IAL DESCRIPTION: A I TESTS: <br /> IE1 Residence '2 r _ New ❑Replace <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONV ENTION� ®� ❑� <br /> . M . IN GROIN ❑� ❑ <br /> RE: SVBTEM-IN-FILL OINGNK:RECOMMENDED SYSTEM:(optional) <br /> SSJe2ii ❑ DESIGN RATE: S U S U <br /> If Percolation Tests are NOT required If any Portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: 1—\_� Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO IROUN DWATER-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- I '12 E ? '72 o- y31M5 `1-39ZMsL+ r 35 Iz3wals <br /> B- 2- _L 11. 1 AOME > ]Z O-531rvis S— JO 12msw LI'3 _71J!,W S <br /> B-3 ]2 (3'SZxf-Vs S '31 Ralr,sw 3� �ZaNMs <br /> B- 1Z NDNE ��2 o-yY�lMs 4- ?'2--6K) <br /> B 5 72 oNome 15AMk As <br /> B- <br /> PERCOLATION TESTS <br /> it <br /> DEPTH WATER IN HOLE TEST TIME DROP IN WATER LE—V51-INCHES RATER INCHES <br /> NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD I PERI o2 P R <br /> P- 13LI 00 3/ y % 3 <br /> P- 2 Z tj 0 <br /> P- 00 <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 Vocation on the plot plan. Show the surface elevation at all borings and the direction and percent <br /> of land slope. OQtGWAk— &L"CeMfA11 <br /> SYSTEM ELEVATION �W •S� q N <br /> ovERIANo pRwE <br /> w <br /> PL C <br /> FaRu+ A BM1MA1&/NJq e4i)Hnt•Q4K <br /> 7RAU f� V PER< <br /> t ,SORE , <br /> - FjF, _ .. /1�0 h/ w <br /> •a <br /> I <br /> A <br /> I, the un rsigned, 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 /> NAME (print)' TESTS WERE COMPLETED ON: <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 185T' W t 5`f g oo 15- - 17 <br /> CST (J/�TURE: <br /> y �> Qa <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 IR. 10/83) —OVER — <br />