Laserfiche WebLink
DEPARTMENT OF REPORT ON BORINGS IIID SAFETY$ BUILDINGS <br /> INDUSTRY, � �-_ Dr��/7 DIVISION <br /> LABOR AND / P.O. BOX 7969 <br /> HUMAN RELATIONS ft TESTS (1 ,. MADISON,WI 53707 <br /> LOCATION CTION� TONIUUI I NO. SU13D VISION NAME: <br /> UNTY: �+ I <br /> illi7rPelt rC CT -P [ r 4 4n Owi (y <br /> E OVATIONS MADE <br /> p1 B A . <br /> 1 13 <br /> yasResidence WNww ❑Replace c/ . /s;) ey <br /> RATING:S-Sita suitable for system W Siu urrriteYM for system <br /> ❑�• ILSV^JI . _rrnMDING : EC O SYSTEM:(optional) <br /> SoS <br /> v <br /> ax�Pl a. <br /> If Percolation Tests are NOT required O9§IGN RATE: If any portion of the ta"dam is in the [n <br /> under s.1-163.0816)(DI,indicate: Floodplain,Indicate FlualYl/in elevation: - <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL i N SS, COLOR, TEXTURE, AND DEPTH <br /> NUMBER PTH 11% ELEVATION C R V V.ON BACK.) <br /> B. o y"ew 4 s "i <br /> b,,,,,r Rkpv%� d s <br /> B- 0 100, 3 't > 3'0 y",en <s 76 " y r'-n S <br /> B- y F0 100, 5 1 > �✓"B/11r (� „ <br /> a,r 6 1 , <br /> B- YG 1ol. f r( > O'V -/ "8 NLS 76 <br /> PERCOLATION TESTS <br /> TEST DEPTH I WATER IN HOLE TEST TIME DROP IN WA V S RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERINCH <br /> P. a C1 o7 <br /> 7 ' <br /> 10 <br /> v- N 0 0 / S' 2r 6_ 3 <br /> P- P7 / Y <br /> P- <br /> P_ <br /> PLOT PLAN: Show locations of percolation tuts, soil borings and the dimensions of suitable soil areas. Indicate sale 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 eMlw•tlon at all borings and the direction and percent <br /> of land slope. <br /> Z! <br /> :f I - PHPC <br /> SYSTEM ELEVATION <br /> .OR <br /> p n r <br /> F7 a <br /> _ ,P. S I 5 . _ 3' 4 S IP <br /> _: <br /> + d c v Sa • �♦ • b q 1�• <br /> tN <br /> , <br /> r _ C <br /> .. a 9 Y-k W S 1 -tr �i V `F <br /> F <br /> siiep ;qIf , ,x . , Na c fly San �,lu�Py/lclilte�I,the un ersignedhcertify t t e soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin <br /> Adminis ative Code,and that the date rded and the location of the tests are correct to the best of my knesylsdps and belief. <br /> NAME (print): TESTS WERE COMPLETED ON: <br /> Ojev-tt. 0 y- / a - 6, L/ <br /> ADDR S : f CERTIFICATION NUMBER: PHONE NUMBER(optionall: <br /> ( 64 tisc� r� �Y3 Ll37 7;s- f�f y/ f7 <br /> CST N�ATJ�1-RIE: ,. <br /> DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R.02/82) —OVER — <br />