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INDUSTRY, <br /> OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND P.O. BOX 7969 <br /> HUMAN RELATIONS PERCOLATION TESTS (115 MADISON,W153707 <br /> t0f(W'610911)&'L%'spter 146) /y <br /> LOCANT , / SECT IO�T VN/R OWNSHIP/MUNICIPALITY O. B <br /> 1 LLK N <br /> COUNTY: MAILING/ADDRESS: <br /> & fnztlb� , W/:w;, r ,,,,.. yrs : C./Y�':�//f t✓:-. .5.7 O.�/ <br /> USE TES,ABSERV,ATAQN$.MAQEI'v :. <br /> N0.B DBMS. COMMERCIAL DESCRIPTION: O/xs:, ATION TEST <br /> Residence ❑New epIace <br /> RATING:S--Site suitable fop system „ Sit,++nw'ta4k fors m.,„ <br /> O VENTIONAL: M UND: I -G OUND-PRESSUR"Mill <br /> S STEM-IN-F L _OLDIN TA K ECQry1,MENDEq SYSTEM:IQp?+Pnal) <br /> [NS ou FE'S, y �`'S"C�U . it � CTS <br /> DESIGN RATE <br /> If Percolation Tests are N07,rR941[ed , F, If aay portion of,thaAgsted area islr;y(he <br /> under s. ILHR 83.0915)Ibl,Indicate. Floodplain, indicate Floodplain elevation: <br /> ":PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNOWAMER-4N a H B' CH&RACTER` F-SOIL WITH,THICK S,COLOR-,-TEXTE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION . E TpEDRO K.IF OBSE,VE ,SEE.ABBRV,O.N BACK.), .:r <br /> B- <br /> B- <br /> , <br /> B- 4 3 >60AISI <br /> r S „ <br /> B vim" <br /> B q5-9 <br /> B <br /> PERCOLATION TESTS <br /> kTESTDEPTH WATER IN FIQLE. TESTTIME DROP IN WATER LEVEL-IN HES. RATE MINUTES <br /> INCHES AFTERSWELLING INTERVAL-MIN' PERIOD1 PE I D2 PERINCH <br /> IL <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. I /I ) - <br /> SYSTEM ELEVATION qI -� /�OELEVATION T <br /> 4. <br /> -Sa jt, 0 S <br /> aur 1��+ s arts to T N <br /> f_ <br /> 7fe ells - P' <br /> 10 <br /> 'T��5 _ <br /> s� �s l , � s . <br /> I,the undersigned, hereby certifythat the soil tests re orted do,t�hl�rm wee made by me in accord with the procedures p r es and merhods.SPepifie{I in the Wisconsin <br /> Administrative Code,and that the data recorded and the IocatUon of the tests are correct to the best of my knowledge and belief. <br /> NAME (print): - TESTS WERE C6O ip LET DON: <br /> _/ ? ` <br /> AD RES CEFMFICATIONN MBER: PHON�.NUMBER(optional): <br /> S ( S c C'/�1 <br /> CST SIG <br /> DISTRIBUTION:Original and one copy to Local Authority, Property Owner and Soil Tester. <br /> DILHR-BBD-6395(R. 10/83) —OVER — ` IIILLL <br />