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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> DIVISION <br /> INDUST49Y, <br /> LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 <br /> MADI <br /> HUMAN RELATIONS SON,W153707 <br /> (H63.0911) &Chapter 145.045) <br /> LOCATION SECTION: WNSHI MUNICIPALITY: OT NO.:BLK.NO.: SUBDIVISION NAME: <br /> NW '/N'/ 2 T3901R 1 E to /yJF� m/f N,4 /vnf <br /> COUNTY: OWNER'S UYER'S NAME: MAI ING ADDRESS: <br /> N N l?t./ go)(119 AL r s M/NN. 56 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMER IAL DESCRIPTION: PROFI DESCRIPTIONS: PERCOLATION TESTS: <br /> xR¢sidence �/� New ❑Replace I /% / /�2J /( <br /> RATING:S=Site suitable for system U=Site unsuitable for system (?! 7 <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: S STEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM:(optional) <br /> ZS [:]UMS ❑U ®S ❑U I XS ❑U I ❑S OU I CDN YENTi ONAL <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the d <br /> under s.H63.09(5)(b),indicate: N// Floodplain,indicate Floodplain elevation: Al <br /> PROFILE DESCRIPTIONS <br /> rB- <br /> TOTAL PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,TEXTURE, AND DEPTH <br /> DEPTH IN, ELEVATION OBSERVED EST. I HEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> `� /GYM'z" NONE >655/" 3",6<5c 6/"A6&F <br /> IDDM " `/ 63 / 3"&5z 2" 63' 65"FFF <br /> B y GS l0 '2•, // 6Z,r 3"�LSL 60" FS 2" 5el <br /> B- 5 b6 / `/" 1/ 6 3 30 l /16 Z"Bn SCL 7Y"('5,4b FFF <br /> B-6 6y ! O�/" /l _-TAP, <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERI D1 PERI D2 P R PERINCH <br /> P. i Zo A101UF 3 1 / / <= _'5 <br /> P- 2 zo it 5 ! / 1 / 3 <br /> P- Z/ <br /> P- 20 <br /> P- Z2 13 <br /> r�-- / Z4 <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 9S'6 " /s'/o " AlmP RE4u,RJ0 <br /> CEN rt R 1 P E 5ON <br /> LcrAW41 <br /> _ RoAO � AREA /I/ROh /�Pvq PIPE � i <br /> Ip9' �EvEL Yaso6Nriryr weld ,�}usreE_-ow so'_I <br /> 1 _Lsllsft/d1E . BAsE uNr <br /> _ �rRgM 54,TNB<E /jiQEFS <br /> 4s I _ r _ r >lao' <br /> e' °Ps °�, - t N <br /> .__ � PkeMAkl,. AREA /2x136 <br /> RI��HRP . _ Pq SCALE Y4, <br /> BENCN MR6` <br /> - . H , o 5y5TEM e<. <br /> YRP� 10P QF IYy_Pyr o By 6 83 <br /> °PV <br /> IREPtAC£MENT AREA hX36',_ <br /> PscB« Yy" =6' <br /> 6 <br /> VEli. /uo.ao' <br /> v <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 (print): TESTS WERE COMPLETED ON: <br /> CAL U/N BcN.50N �/6 <br /> ADDRESS: CE RTI FIl,Ai10 Nft7/i5_- <br /> CST <br /> NE NUMBER(optional): <br /> /5 SIG TUR �Q7 <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. ! <br /> DILHR-SBD-6395 (R.02/82) —OVER — <br />