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ORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> DIVISION <br /> P.O. BOX 7969 <br /> PERCOLATION TESTS (115) MADISON W153707 <br /> iff"CO�T39 N/R/��IorIW TOW SHIP/MUNICIPALITY:/\ f��/S.:BL�NO.: S}BDIV SIQN NAM ` <br /> R'S BUYER'S N,)ME: M MAILING ADDRESS: 1 tl/ ,Ll <br /> �4nnraor� S/ tin � ! , <br /> !r!!7 <br /> E DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMM R .IAL DES RIPTION:1919; r��� I S: A N ESTS: <br /> ce 1. New ❑Replace <br /> / RATING: S=Sites able for system U=Site unsuitable f system <br /> CON❑V ENTION MOUND: IN-GROOUN6PR RE: SYSTEM-IN-FI HOLDI TANK:RECQMM ZE SVSTEW�( ionall <br /> I S S S S U /J.// ' <br /> If Percolation Tests are NOT required DESIGN RATE: ST If any portion of the lot is in the <br /> under s.H63.09(5)(b),indicate: Floodplain,indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL ELEVATION P H TO GROUP PT <br /> DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEH <br /> NUMBER DEPTH IN, OBSERVED E T. I (}HEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) /p�f� J <br /> B- I I 0,z) "8%1 3 e � S3 rt� IA `t 4 Ta t <br /> V y „ . 1 <br /> yYr 11 t Fvrlc � E7L � � �, <br /> B- coG 4 1r <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. PERIODi PERIOD2 P R PER INCH <br /> P- <br /> P- .-.-....._... <br /> P- <br /> P <br /> P. <br /> PLAN VIEW: 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 slop. <br /> SYSTEM ELEVATION <br /> _f ... _. –t-.. <br /> TN <br /> , I <br /> -- <br /> �1 <br /> I, <br /> he undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin <br /> Admimistrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. <br /> NAS Iuood: TESTS WERE COMPL TED ON: <br /> b�S n' t, , C � 7— 3' rf <br /> ADDRESS: <br /> —T CERTIF CATION NUMBER: P NE NUMB R optional): <br /> C 6s /�-r ' ^ � sc S VIEF-33 yds <br /> CS NA RE; <br /> DISTRIBUTION: Original-Local Authority,2nd page-Bureau of Plumbing,3rd page-Property Owner,4th page-Soil Tester. <br /> CHR-SBD-6395 IN.03/81) <br />