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s w., <br /> IAJc <br /> kill <br /> yy"IYON if:141 <br /> NSF A lv� <br /> UsE <br /> Residence <br /> RATING:S=Site suitable for sy+141. U=Site unsuitable for system(� (� ' �..e _ - <br /> CONVENTI�;;. MOUND: ❑� IN-GR� ❑� ®,7 I©�LH[JIV�R`I I .` 6^jj <br /> [XS��erriill <br /> ion Te LL��j��J}}'' DESIGN RATE: I If env nom..C„01 the tested area is in the <br /> If Percolation Tests are NOT required i <br /> der s. ILHR 83.09(5)(b),indicate: Floodplain indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL ELEVATION D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, OBSERVED EST. HIGHEST ITO BEDROCK IF OBSERVED ISEE ABBRV.ON BACK.) <br /> B- I o 9 8 ,va Ai '7 " 'e1_.l 7s" R Pl­.L d s <br /> B-3 X 0 Qr� 7 O O vs r.Jr , I` l Ct,Yi� � <br /> pNn <br /> B-y g 7. ` ` > 10 I` /�' < .,tom... _76 `� l ✓ s <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RAPER INCH ES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERI ODI PERIOD2 P R <br /> P- 3 Lz a ` a s/B <br /> 0 <br /> P- r to 10 <br /> P- 3 4 10 / <br /> P- <br /> P- <br /> P- <br /> PLOT PLAN: how 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 ver ica 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 /> SYSTE LEVATll �o e c o <br /> `r � 4c�P jd <br /> pr�iv a c C C r?d C. c C- 3 30' —� a 0--r- Q <br /> s 4.7s ales <br /> i <br /> is <br /> 13' ` e(fIK3 <br /> � asc e � JSal- <br /> / '' w4� 1`.� 04 /� <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 /> NAM (print/): TESTS WERE COMPLETED ON: <br /> 0Or1G /1 'P+ 11 (rt el f a > ' g 'r <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optionall: <br /> 86 C-q/x7 <br /> CST NA URE: <br /> P, <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. 1 <br /> DILHR-SBD-6395 (R 10/83) —OVER — <br />