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DEPARTMENT OFREPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, � DIVISION <br /> LABOR AND PERCOLATION TESTS (115) P.O.MADISON WI 7969 <br /> HUMAN RELATIONS <br /> ((LHR 83.0911)&Chapter 1451 <br /> LOCATION: SECTION: Tj9,W SFIW/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> Nk�/e, j9 <br /> TSS/ N/R/6 E (.4104&rt e4A-o <br /> COUNTY: MAILING ADDRESS: <br /> aoaUc-rr urs� WAil m/Ioiv 2'733 Eysr eatiA4tWs e4A2F 4 v tv���rmz w's3� <br /> USE DATES OBSERVATIONS MADE <br /> DIQ4IIRNO.B= �7^ <br /> EDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DE$� (ONS' �A NT�ESTS: <br /> yiesidence J , ' New ❑Replace II ,F7y/ / <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SVSTEM-IN-FILL OLDINGT NK:RECOMMENDED SVST :(optional) <br /> S ❑U ❑S ®U ®$ �U QSJU ❑$ �U L'aU�c�Tiar�r swc= oul�z��nov <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: /{/A— Floodplain, indicate Floodplain elevation: �V�- <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. HEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- l g4" 99 A)LlkL � g. 3t,SZ 73}C%/., G !/.,P f f3.v /r(4--5 <br /> B- a �� �t4 D ti0 7 $D 0"t3G, SL- 7S /D=74, L, 24"r- W'AVAU5793 <br /> B 3 g4" 9913 AeonA l!" 31,,5'1rS, /l -28 'I e 78 f t.13Nmtgo <br /> !/ <br /> B- * <br /> B- D hLTEV—x_D 5 c, ref& o�- <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 ( PERIOD2 P PER INCH <br /> P- 4 2,9" ouL� 5' 3 L v <br /> P- Z tao 13 3/ <br /> P- 2 " NONL 3 i l <br /> P- <br /> P- <br /> P- <br /> PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. dica 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 surfa elev ion at all borings and the direction and percent <br /> of land slope. <br /> go <br /> SYSTEM ELEVATION spa 96 <br /> _ -r - <br /> Nu <br /> a9,vc _ .,� 4z x <br /> r <br /> . � ss I <br /> 260 ti _ / r <br /> 9nPY7o 644+.tT OL�F <br /> P � <br /> • <br /> ' T N� <br /> 8G4 <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 Wiscon Ali <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. pj f��': -q i <br /> N rint): _ - TESTS WERE COMP TED OV: <br /> ADDRESS: CERTIFICAT ON BER: PHONE NUMBER Ioptionall: <br /> 13,K- e12L <br /> C <br /> DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. <br /> DI LHR-SBD-6395 (R. 10/83) -OVER - <br />