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DEPARTMENTOF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, _ _ - DIVISION <br /> P.O. BOX <br /> LABOR AND <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON,W153707 <br /> 3707 <br /> (1 LHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/PAliMttYP7L[fFY: LOTNO.:BLK.NO.: SUBDIVI ION NAME: <br /> Sw1/Sw1/ 13 /TfoN/R/7 VOW zc n c` Al, AIA- <br /> COUNTY: y/ OWNER'S/BUYER'S NAME: n / MAILING ADDRESS: / <br /> B401at-// 4Q rr �Thue� // S 1� /t Tt" �Ln✓d BOE <br /> USE ATES OBSERVATION ADE <br /> te� NO.BEDRNIS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: <br /> L&esidence ❑New ®Replace I //�rtD/Q <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IIV-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM:(optional) <br /> ©$ ❑U ®$ ❑U NS ❑U I ❑S OU I ❑S ©U I eo ,% u <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. (LHR 83.0915)161,indicate: Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTALD PTH TO GROUNDWATER-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- ►do 9d. 7 N011'i 7 /10 s"aNN„t,lf "RIt " ant <br /> B- <br /> B- <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTER SWELLING INTERVAL MIN. PERIOD PERIOD PER PERINCH <br /> P- <br /> P- <br /> P- <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 —t Cis elemn"en h -., o..,. & sLai; 0 o tion at all borings and the direction and percent <br /> of Ian Pe. ! e'r L tu'.p <br /> SYS EM ELEVATION <br /> 9 "!O pr <br /> gQa s o <br /> m <br /> Ly4K� �,.�11� <br /> N7 ­111- <br /> T N <br /> ` � ggra� <br /> . U <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 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 COMPIL ON: <br /> '/? I�C1L 1r n S YP de 6 <br /> ADDRESS: �'� CERT(FIC ION NUMBER: PHONE NUMBER(optional): <br /> 2G U �l <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R. 10/83) —OVER — f <br />