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DEPARTMENT DF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, nlv!SIONI <br /> LABOR r`.ND PERCOLATION TESTS(115) MADISON LW11. <br /> HUMAN RELATIONS 53707 <br /> (ILHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BILK.NOSUB <br /> .: DIVISION NAME: <br /> '/ '/ /T41 N/R E (pr W <br /> COUNTY: O NER'S BUYER'S NAME: MAILING ADDRESS//: �[ / <br /> U W 6 �/- .f l et-y_ 4r, <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: ,��7 PROFILE DESCRIPTIONS: PER OLATION TESTS: <br /> Ix IResidence �� IXINew ❑Replace (c. - <br /> — 1-5 _ @y <br /> RATING:S=Site suitable for system U=Site unsuitable for system / _ ru J U O <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) <br /> ss ❑U ®S ❑U C4S ❑U ❑S MU ❑S ®U PO,1VE�rnerJgL <br /> If Percolation Tests are NOT required DESIGN RATE: I If any portion of th<w­.o.+,. - -- <br /> under s. ILHR 83.09(5)(b),indicate: (�/ I 1 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 IN, ELEVATION OBSERVED EST. _CHEST ITO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) <br /> e- ) 7 q7 Z o E > 80 �'6 8I�5 6-2(,R.nS 26 8S8.vrts <br /> B- 7 Z SO Ml > 7Z O-� �Ms6 �iO3 7jb- 7ZB✓MS <br /> aB- <br /> G. > 7Z a- Mks 7- '/-7 acs <br /> >20 0-7 <br /> B- Y. E > 77-- 6 - //Z'* 3 ?Z ins <br /> 13- <br /> PL iGQ <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MlN. pERIODI PEtjIoD2 PERIOD PER INCH <br /> p_ 41AJ <br /> P- o <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 93 <br /> ULLo <br /> 1. !3M ICI° fbf�I/I I c4k SCAT I" �� ; N *gD <br /> 6 , <br /> Q TERc _ j TIN <br /> \YELL To <br /> C. >56 n0M SbI � E flx�A <br /> I I X <br /> i I <br /> j <br /> Mr U,dAS, <br /> I, the undersigned, hereby certify that the -- - ;.- -- th tl�q nr,.o - — _ ,,.,,,:., ;n the Wisconsin <br /> Administrative Code,and that the data recorded dna - ::. �,ye and i,elief. <br /> NAME (print): TESTS WERE COMPLETED ON: <br /> ✓69 13 - M <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> - <br /> CSTSIGN TUR <br /> r _ <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DI LH R-SBD-6395 (R, 10/83) —OVER — <br />