Laserfiche WebLink
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> DIVISION <br /> INDUSTRY, . - _ <br /> LABOR AND P.O. BOX 7969 <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON,W153707 <br /> (ILHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LO/$�WO.:BLK..�N{O.: SUBDIVISION NAME: <br /> 1/45 r, i/ Z3 /T o N/ P p (or)W P/op ✓ / 7� NA <br /> COUNTY: OWNER'S BUYER'S AME: MAILING ADDRESS: <br /> DKA T)61*15 b OaMkVJT SInu Wit <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: f� PROFILE DES �P ONS: PERCOLATION TESTS: <br /> Residence 1� <br /> )?New ❑Replace I /0 — Q y� /b X3- 87 <br /> RATING:S=Site suitable for system U=Site unsuitable for system Jy <br /> CONVENTIONAL: MOUND: IN_ -GROUND-PRESSURE: SYSTEM-IN-FILLHOLDINGTANKCOMMENDED SYSTEM:(optional) <br /> 9S ❑II (AS ❑U ®S ❑U ❑S ®U ❑S Al1uU L�OtiVrti'7ioNpL <br /> If Percolation Tests are NOT required DESIGN: If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: I I I Floodplain, indicate Floodplain elevation: <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 /> B- I $G �$ N°^i g0 - U N Pled S Slde6 ##J N a -lefty <br /> B-_Z' (1 ' 7I 11 5 Sei Rrrwtieut d <br /> B , (( b I' 0 <br /> B- V 9S' <br /> B. S <br /> B- / 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. PERIODI PERIOD PERIOD PERINCH <br /> P- / Ailo 5 y <br /> P- 2 It /I b S <br /> P- 2 l <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 thesurface elevation at all borings and the direction and percent <br /> of land slope. 'P(J'C. I? �C��/��% Yo 1,6 leee �!///Lr1-_,rIU IO <br /> SYSTEM ELEVATION •3 Borg aM/a o #411 iNByst or O/C <br /> 47o <br /> ------------ <br /> fWw .o <br /> G� -30 <br /> G <br /> w <br /> TN <br /> r <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 : , t _ TESTS WERE COMPLETED ON: <br /> (�tr %0 "t � 9 tC7 l st s ID-3— 8 7 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> A. � S rq w i i— g4 3 7 <br /> CSy$IGtyAT UFi,4 <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. Gdl �CJYD/ 1dG�` /L[� <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />