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N PA TR EN7OF, REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> DIVISI <br /> HUMAN RE�A,OONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> (H63.09(1)& Chapter 145.045) <br /> LOCATION! SECTION' TOWNS I PIMHN+644 A0 . OT NO.:BLK.NO.: SUBDIVISION NAME: <br /> NE / // i J3'�N/1119b,IW �o � �Kf r�� r✓ /11L)r) �r����. gat <br /> COUNTY: OWNER'S Bti1�6RS NAME: /VSE OOf Sr MAILING ADDRESS: <br /> LO5 -R/Ai/YECAni/ <br /> 6 s ' /RE/x?i� LA SVk_?q <br /> USE DATES OBSERVATIONS MADE <br /> NO.BE�D,/RMS: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: A ESTS: <br /> ❑ResidenceN� � / /W TCL ®New ❑Replace I $ _ d _ Q3 ! —/Q -93 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURES STEM-IN-F ILL HOLDING TANK: R ECOMM ENDED SYSTEM:(optional) <br /> os ❑u ®s ❑u os ❑u 5D is ©u ❑s au coir V. <br /> If Percolation Tests are NOT required DESIGN RATE: <br /> 4 If any portion of the tested area is in the <br /> under s.H63.09(5)(b),indicate: /J471 1 Floodplain, indicate Floodplain elevation: /V.4 <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. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 72 R 9 5- y„ > 172 9" , 131 S .54 "e„ s v'" i5 <br /> B- 9 �� q�; S' g y 6 G " a/ s . G o X'0 07 C'Nol"a <br /> B- 3 72 99= s" /y ni- > '72- <br /> It <br /> B- N 72 �Q5 - > <br /> B- L 1 72, 1 9 72 giS " 43„ / S <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD PERIOD PERINCH <br /> P- It m s,s 3 3 1 <br /> P. ') tY 06 3a L v <br /> P- 3 36 15 ys s 2 <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 horn <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 slope. 3 <br /> SYSTEM ELEVATION <br /> A= H�R� TgSi T Z,4 h'E <br /> 4 = PF4C -FsPilo P'a o PtM <br /> �. 4/N. /-/dee- � &-o /Re{Pr 51�� �` ,��in•Gc <br /> 415t of f/c,-T PdEF -1 <br /> r -- <br /> _ ?= 6-u f'7At3L6 ARE 4p.J(I".iT' 6g 1 ei./t <br /> A&To 8l = !G 5 Di s7-4,weE �Lv el Gk°�N TN <br /> Cit = 195 ' 34X6 ' s ,oS, <br /> All ; 2 3 s " -QLi6 Ft RF <br /> BJr = a6 5 fi y-L V07 <br /> fj, c-Mic IV IF <br /> wH�6P�2ry6 fiNES �a <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): TESTS WERE COMPLETED ON: <br /> ADDRESS'. CERTIFICATION NUMBER: PHOv NUMBER(,pS nal)'. <br /> ! T- 2 (3d S/D SiRr W s'y&�i <sr o��i 3 i <br /> CST SIGNATURE: <br /> J <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR_SBD-6395 (8.02,R7) r OVFB <br />