Laserfiche WebLink
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, ' DIVISION <br /> LABQR P.O. BOX 76 <br /> HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> (ILHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOTNO.:BLK.%: SUBDI VISION NAME: <br /> 1/4 1/ 25 IT 38 N/R 1 x E (or) Wood Riven Township pct. L. 6 <br /> COUNTY: MAILING ADDRESS: <br /> BuAnett ChAi,5 Witzany P.U. Bax 39 GnantsbuAg, (VI 54840 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: NS: A TESTS: <br /> .Residence 3 ----------- ❑New ®Replace I May 17, 1993 N/A <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVEpNTIONAL: MOUNpD: IN-GROUNpD PRESSOR : SYSTEM-IN-FILL OLDIINpNG TANK:RECOMMENDED SYSTEM:(optional) <br /> ❑J ®U ❑J ®U ❑J ©U ❑J UMU ©J ❑U Hoeding Tank <br /> If Percolation Tests areNOT required DESIGN RATE: If any portion of the tested area is in the N/A <br /> under s. ILHR 83.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTALPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPfH IN, ELEVATION OBSERVEDHE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 5211 98.9 711r 0-11"Dh Bn .6t; 11"-5211 Gy c wIR mot cm <br /> B- 2 4611 96.7 1211 0-1211 Dh Bn st; 12114611 Gy c w/R mot cmd <br /> B- <br /> B- <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. PERIOD I PERIOD 2 7;ffWI715rr_ PERINCH <br /> P- <br /> P Lot ha,6 iiisuAAicient aA a in depth to <br /> P- <br /> P_ hcgh gAouiduuteA 6oA an kknd o hoc <br /> P. <br /> P_ a aonp <o .syh em. <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 N/A Seale 1"=401 except whehe noted. <br /> - I , <br /> itt2 <br /> d <br /> - - _ good <br /> -B1 b 2 Lake <br /> - elu • Haw,eT N <br /> o <br /> --- <br /> - sting System'- + - <br /> Ea <br /> , <br /> 0 <br /> -- - - <br /> - <br /> BM-10'0.0 Bonch aAl , HRP & ORP, Bottom a siding". <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 specifi9d in the i onsin <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 /> Wade RUAshoPm May 17, 1993 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER Ioptional): <br /> 24702 Lind Road P.O. Box 514 SiAen, (VI 54872 3583 (715) 349-7286 <br /> CST <br /> 'SIG/NAT/URE: <br /> DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. <br /> DILHR-SBD-6395(R. 10/83) —OVER — <br />