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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> 7969 <br /> LABOR AND c P.O. BOX <br /> HUMAN RELATIONS PERCOLATION TESTS (11J) MADISON,WI 533707707 <br /> (ILHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: OWNSHI MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> / S�='/ 6 /TS�o N/R�yElor Scott- �� ¢ ,J�".. Lu <br /> COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: <br /> Rarlteft o 6er- t /-// is �,, /6/s' /�;�1e /Sur., <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS: COMMERCIALDESCRIPTION: PROFILEDESCRIPTIONS:[PERCOLATION TESTS <br /> Residence a ❑New Replace I /�' J N. "�_� / ,y T4 6J _ <br /> RATING:S=Site suitable for system U=Site unsuitable for system -,/p- <br /> O��TIO� . MOUND,��.❑� IN-GROUNDOu E: SV80TEM-IC. U OCOS RU ' C) )7 DING TANK: DV e") <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.0915)Ib),indicate: Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL <br /> DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN. ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> 7 / p // <br /> B- uZ <br /> B 74/' y� �/P ati c 0,_3/, Q/ r/ 3 - 7f/ <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. PE D 1 PERI H2 PERIOD PER INCH <br /> P- l �W 3 iF S 3. . C <br /> P- a 3/ rr // 3 3, G 3 <br /> P- 3 7 /i l ai <br /> P- <br /> P- <br /> P- <br /> PLOT PLAN: Shaw 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 ck <br /> /f ansae 1a & <br /> /� Lb 7` /0 0, wi�r <br /> r � a <br /> —' R <br /> t�d�« 4fj;d, .5C e0r4e� <br /> qbAC, li; <br /> tN1 ` 1 <br /> N /}reL - hC <br /> Q Pi <br /> wr � :� <br /> A <br /> /yCLhJCc.nt Zc.ke Rd . <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 /> `TAME (print)' TESTS WERE COMPLETE�DDi ON: <br /> LL/ et cc J - Cn10 . u / / ?J-s- <br /> -SS: CERTIFICATION UMBER: PHONE NUMBER(optional): <br /> r� �'e.6.r fire l.�>J- esr 3s� Vs�- E�� <br /> CST SIGNATURE: <br /> ,.nal and one copy to Local Authority,Property Owner and Soil Tester. -� <br /> IR. 10/83) —OVER — <br />