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T OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> iNbUS TRY, <br /> - <br /> INDUSDIVISION <br /> LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 <br /> HUMAN RELATIONS MADISDN,WI 533707707 <br /> (I LHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> 1/ % 7 /T.78 N/RisE (or I d'2 CSM uoc.6 ,y,a* <br /> COUNTY: MAILING ADDRESS: <br /> Q ,^ti Sc o G✓ r� �/ 15 o I- N f1 A /didll e , ol <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: (�J}l P 0 NS: A TS: <br /> 11 Residence c /fJ New ❑Replace I / —P y`/ �7 <br /> / /eG, gay 90 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> LOONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> S ❑u 0s ❑u ®s ❑u ❑s u EIS ,®u C0NrleA/I,' ,UA-I <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the n <br /> under s. ILHR 83.09(5)(b),indicate: I Floodplain, indicate Floodplain elevation: N/7 <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMB/ER DE-7PiH IN, ELEVATION OBSERVED E T.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B l /v�'� �f•,' /05e o-6 DKBn/5 6-LSO.rF� d5-7.� en�3 w/P..o� fFf <br /> 0-701�Bn/S 7-J`�Onfs 58-7� Oh-�'S W/.QmaT-{{{' <br /> B- .2 <br /> o-6�K [3n/5 6-dy"dv»^s 65,-7a e�-fs t✓/,Qn,o7-Ff{ <br /> B-3. 7.2, gg9?, <br /> B- 1 2.2' /!r� �sJe 63'i o- 70,EBn/5 7-634'rjr-, _fff <br /> SJ91ne .105 as <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. PERIOD PERIOD PERIOD3 PERINCH <br /> P- 1 511/ nlo„) y �y <br /> P- <br /> P-3 <br /> -P-3 r/ e ;✓ <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 surface elevation at all borings and the direction and percent <br /> of land slope. <br /> SYSTEM ELEVATION 97.4 Scate 111=401 except whexe noted. <br /> �_ '. ,. <br /> : pp <br /> � � I <br /> 1 <br /> r <br /> 1 <br /> I <br /> 1 <br /> 1 , <br /> Al tN <br /> 4 <br /> SM 1 0 1BeYtehMa HRP & ORP SNaif n 411 ,Round ote. <br /> _ - - - <br /> 6 .Boting <br /> i <br /> E Poc <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and m hods specified in he`Wisc �sfisiirffc <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge an elie .E �`� <br /> 29a <br /> NAME(print): TESTS WERE OMP ED <br /> 91-dV- 9.3 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> CS'oX 5/� S;re.� 1✓� $`�/�J� 3583 L7y9-- 7,3teb <br /> CST/SIG/NATURE- <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R. 10/83) —OVER — <br />