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DEPARTMENT OF ' REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND - PERCOLATION TESTS (115) P.O.MADISON WI 53707 <br /> HUMAN RELATIONS <br /> 600.LO+ I (I LHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: N I MUNICIPALITY: LOT NO.:BLK.NO.: SUBDI ISION NAME: <br /> 1/ 1/ Z(o T 38 N/R 18 E (or) Woxl River Na ua, 00- <br /> COUNTY- WNEFr BUYER'S NAME: MAILING ADDRESS: <br /> 5arnctt- WI 6400 <br /> USE DATES OBSERVATION MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTO S:1PERCOLATION TESTS: <br /> ®Residence 3 NQ XNew ❑Replace �_��. — Q� �•�8 X86 <br /> RATING:S=Site suitable for system U=Site unsuitable for system CJ <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: HOLDING TANK: RECOMMENDED SYSTEM:(optional) <br /> os ®u ®s ❑u 11SMU as u os ®u AmuioMomd <br /> If Percolation Tests are NOT required DESIGN RATE: <br /> Q If any portion of the tested area is in the <br /> under s. ILHR 83.091511h),indicate: �(,� Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPT TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEP/H IN, ELEVATION OBSERVED ES .HIGHE T TO BEDROCK IF OBSERVED (SEE ABBRV.ON a CK.) <br /> n 1-7° Lit 811 I S 20" $r1 riled 5, 5 BSriMeel-G5 <br /> B- y2 n q7.3o NONe 3-111 <br /> tel W mot ct 311'r 2 cMd. <br /> B- 2 q2, g5.80 Nome- 31011 16" Ot Pert Is, 2.0" BA Ned S, Ln" h '&5 . <br /> /� <br /> IV mot 0 3t�" <-Md. <br /> B- 3 L q,, q-1•0O oN& 3E3e �$ DK Bn ISI 22' Bh Med S, l° n <br /> N W1 mo+ at 38" IZ cMd <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD PERIOD PER INCH <br /> P- 2-40, nonce 10 3 " 3 " 3Vs." 3 <br /> P- L r' none, o 3�'w' .3yall <br /> P- 3 ;-q,, Awl& 10 6. 3Y3 " 3fj" <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 distar ces. 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 Mooed <br /> 0 <br /> w) ICY-hoC, <br /> 0 - Pffl1er +ce <br /> ® <br /> 63 3BpM - Ul l P orrl-ii I <br /> - - - e1 100.00 TN <br /> 36'A-7q' Are- <br /> 21' ' '/ 5u fable For <br /> AVL IM0004 <br /> ?7' <br /> I 3" �� �c,i I�Zi��l`�UI mus}bcmi/I 2S'�10 <br /> *16 flank. and nein 50'�i'om <br /> 1�5o40L044C 5eepoq& #)M. <br /> ���(—J�_LJ� LaKc• <br /> I,the undersigned,hereby certify thatth�il tests reported on this form were made by me in accord with the procedures and me hods 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 N: <br /> Joan 6 . Daniels -7- 18 -86 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> box W 61ken W► 54871 cST b431 7r59�3 �3�3 <br /> / C SIGNATURE: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. �r <br /> )I LH R-SBD-6395 (R. 10/83) —OVER — <br />