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-DEPARTMENT OFREPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, . - DIVISION <br /> LABOR AND P.O. BOX <br /> 969 <br /> HUMAN RELATIONS PERCOLATION TESTS (115) y� MADISON,WI 537073707 <br /> (ILHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> '/ �'/ Z /T VON/R/7f (or)W N! 6At th <br /> COUNTY' OWNER'S/BUYER'S NAE / MAILING ADDRESS: <br /> ;Fr slmq <br /> USE lV 6 C DATES OBSERVATIONS MADE <br /> N0.BEDRMS.: COMMERCIAL DESCRIPTION: I[� PROFILE DES`Fi TIONS: COLATI,O/N TESTS: <br /> ®Residence 2 1' XNew ❑Replace I / _ -'7 '- —37 �, -)—Yl y <br /> RATING:S=Site suitable for system U=Site unsuitable for system O L 7 (7 ! n <br /> CONVENTIONAL: MOUND: IN_ -GROUN1ESSURE: SYSTEM-IN-FILL HOLDING K: RECOMMENDED SYSTEM:(optional) <br /> ❑S ❑U ES ❑U OS ❑U TAN❑S DU OS ❑U <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: 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-� $o ,o4 aut 7 TO 0- 381ILSI . S <br /> B-Z o 1- NONE > 080 0- I 88 - 49 s <br /> B-3 OU AlDNE 7 Sb A-TAlt Al / O N " S <br /> RD $ a,v6 > a - 9 8 o r� e <br /> B-.S 9� 9 0,� > 90 o-7 1 I - r1D gra Me.d 5 <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUM ER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD2 PERIOD3 PERINCH <br /> P No • <br /> P- 27. 1o s s <br /> P- 0 1 A10 S <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 surfa'c'e elevation aattwall�b'orinngs a`n'd,the <br /> /diirrectioonr and percent <br /> of land slope. rte` a &4 100 /,IAL ,jj g4� dT jq,jea oAk_ <br /> SYSTEM ELEVATION �� 5�&'vc • Sc,Alk 40/ Eye wktk-*- l iad <br /> LD+ -4 7 <br /> YELL0 W D+ LkIE <br /> LAKE <br /> 6a7o Lo+ k o <br /> TN <br /> ty <br /> •� w <br /> I L � a of t <br /> EXPec 70 Tlf)Id 61J �ci d UM 4� U, It � � <br /> 1,the undersigned hereby certify that the soil tests rep rted on this for were ma by a in accordwith t e 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 /> NA riot) t TESTS WERE COMP ETED Op. <br /> �� r ,� /r' <br /> AD S: 'CERTIFICATI NUM E PHONE NUMBER(optional): <br /> IF <br /> IG� <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. J <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />