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TR4ENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) P.0' 7969 <br /> HUMAN RELATIONS MADISON,,WI 53707 <br /> (I LHR 83.09(1) &Chapter 145) <br /> LOCATION: SECTION: OWNSHIPAUkUN-IMlMC': OT NO.:BLK.NO.: SUBDI VISION NAME: <br /> '/ W '/ oZS /T N/R/ I I W rco 7-7- <br /> COUNTY: MAILING ADDRESS: <br /> 1J C O E / 1l a 6 Ay /t i CL 60 <br /> USE DATES OBSERVATIONS MADE <br /> rryye�--// NO.BEDRMS.: COMME IAL DESCRIPTION: A E TS: <br /> L7Residence 3 ❑New �eplace I /�–/a _t�s9 /O /Q _dTG <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONNV7EEN.-TIONAL: MOUNpD: IN-GROUND-PRESSURE: SYSTEpM-IN-FILL OLDIINNG TANK:RECOMMENDED SYSTEM:(optional) <br /> KIS-OU EIS ❑J � EIS ❑J 941 CoNyE-wr offgL <br /> E <br /> A <br /> N IGRT : <br /> If Percolation Tests are NOT required DES / If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)Ibl,indicate: l Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTALPTH T0 GROUN DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST—TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- �oZ /00, 7 NolVe 7� A-( rTx o R4 S J-is A, rnco.s /S-7 <br /> g_o2 7� /ao, l 7� T o- /ct �s �/•/S /P mEp s /8- 7.2 <br /> B- 3 �Y /olr� 7s o - nes /6 k -,? <br /> B- 8 Y p00 > 1? hi, <br /> B-�` 7,;L- 90a. 7. 1- T m �/ /2 I - O <br /> B_ <br /> PERCOLATION TESTS <br /> LTEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> i NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERI D2 P PER INCH <br /> P- O <br /> P- 30 O –3 oZ <br /> P- d <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. 9 <br /> I AC <br /> / = d <br /> wn« ~ T N <br /> 3 T _ <br /> 090 _ /----�-�� �; - - /J�/�•E <br /> CgBiR ' <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 he 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 /> EGA i E _ V - o fir/ <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> T cZ P est LAkr ,'s- a s-",7 yq3 71/0 <br /> CST SIGNA URE: <br /> Q[�l ! <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHRSBD8395 (R, 10/83) – OVER – <br />