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�MENT OFREPORT ON SOIL BORIN_GS_AND SAFETY a BUILdINGS <br /> „i RY, - _ _ DIVISION <br /> BOR AND PERCOLATION TESTS (115) MADISON WI 53707 <br /> HUMAN RELATIONS <br /> (I LHR 83.09(1) &Chapter 145) <br /> LSOCEATIK_ �/ SECTION � TOWNSHIP MUNICIPALITY <br /> L2OT/NO.:BOUBDI VI AME:/T Y6111/11 �ic soh 04/ <br /> CO NTYO NMAILING ADDRe9K S+- Ale m; )n m^ <br /> Z� <br /> 55 � <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRNIS.: COMMERCIAL DESCRIPTION _ PROFILED CRPTIONS: PERCOLATION TESTS: <br /> l}]�yResidence SIR lace <br /> 4 _ <br /> RATING: S=Site suitable for system U=Site unsuitable for system <br /> 94iiievJ <br /> ONV ENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM:(optional) <br /> ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U <br /> If Percolation Tests are NOT re uired DESIGN ATE: <br /> p If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: /V, Floodplain, indicate Floodplain elevation: N A <br /> r t <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 /> II // a <br /> B- �`J(e '' One lSlo /S/< rowN ASVD <br /> B- <br /> B <br /> B- <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 PERIOD PER INCH <br /> P-. _ <br /> P- <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 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 <br /> X well ab <br /> XI PAM Ll O <br /> afunCr� prey{ LAAE x Z3 8 <br /> w f h ri * comer <br /> 6W 8 <br /> Dry'Ji L.6+ h,�. i0� — — TN <br /> ander9(,rrffnd �lVitibcrS <br /> (0 ' co f/ or, <br /> cGl/er ¢(i' �o��o..,L) ( lI GGrQ�e <br /> _tFkevo, is »Q tio5-�2 J,' CStA��1 COYtLef 67 52btJCr1�G1�z/ In DtLCS �roL� Sot�rtr-bry >M[ 11 > 56 ��'� 1^/e1( a /%o -/6 A// NclIA60,S L✓L//5 <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 /> NAME ipi Int): ) -Li E <br /> (TESTS WERE COMPLETD ON: <br /> AIA n 0- N E- ``I-9 <br /> ADDRESS: fn� 'I CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 3/3'90 A/6mGj6 ,qA ) Ant ZI nb Y luCSt/8 60357 -� <br /> )' CST$(GNAT U RE: �t <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. Cs/•gyp <br /> DILHR-SBD-6395 (R. 10;83) —OVER — <br />