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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 <br /> 69 <br /> HUMAN RELATIONS <br /> (ILHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY LOTNO.:BLK.NO.: SUBDIVISION NAME: <br /> 84, 1/ x. �/ 36 /TqON/R»-E (q l_sm) U q <br /> COUNTY: 01�.NER'S BUYER'S NAME: MAILING ADDJ?ESS: <br /> JoN�' Aell�/.�o /a! 4+>F SO • :Soot ST-- % 0jG 144 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BED COMMERCIAL DESCRIPTION: " I (PROFILE DESCRIPTIONS-RjP�TIONS: R�O�TIOJVGTSTS: <br /> Residence �� ❑New Replace `:7 !V/ P" �O <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIQS ONAL: MIUND: ❑u IN-GROUND-PRESSUREURE: SRS N❑-FILLHOLDINGT : RECOMM Hoo <br /> A c—,all <br /> � U ll JY�I S ��Q7 U S U S C/ <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)4 , Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH N. ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) <br /> 1! Y r <br /> B 7�l `1a�0 7 74" A;0 Ai eo"s"i? a6°' r37�F ' RFS <br /> B- 2 6D' 95'10' _7SsO` aow 111 F3L r5, 06" ati 4s' 2F5 <br /> B- 3 SD` 95 6' 1Pi 16 Sc 6117-z, 11 81 _ 42" rZF5 <br /> B- '711R <br /> 95-6 <br /> POW y 7y tpr. s L r�� 5 a7'` Nps. 3'7" (Z li <br /> B S X15`6" y 80 to' 44' zFs. <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD PERIOD 3 PERINCH <br /> P 1 A,o 6 v 9 3 <br /> 41 <br /> P- 2 o _ > 1/1 <br /> P- SO <br /> 3 E 7 <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 10 I' <br /> 12a4b <br /> F1lf <br /> sAKXE <br /> EFIbT1►•6 ""` 112 <br /> Na++s <br /> Balt <br /> NORM �I-0•• 12DO° <br /> 5Rut7 ) I in IMP <br /> �E Fn!!✓vn �o of L �! F—so' Kt•I p, I farItheWisc <br /> H <br /> - - �. <br /> bm• Tap r 34-- 'bo`— <br /> �tinaa pry++ <br /> �v�nr►'i ceifil' ;p <br /> 250' B" <br /> I,th undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified nsin <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 (pr in TESTS WERE COMPLETED ON: <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 3 V'i 7D i u11 4 77 Axl r <br /> CST E: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD6395 (R. 10/83) —OVER — <br />