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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) P.O. BOX 7909 <br /> HUMAN RELATIONS MADISON,W153707 <br /> 0LHR 83.0911) & Chapter 145) <br /> LOCA ION. SECTION: TOWNSHIP/MUNICIPALITY: OT N0.:8LK .: SUBDIVISION NAME: P -SNS <br /> WI/ �/ 7 /T N/RI6E (o OFIK 12 IOE2 �� _ <br /> COUNTY: MAILING ADDRESS: <br /> uRt,ZW "OW A K RIT 4 4ox ! _ <br /> USE DATES OBSERVA NS MADE <br /> N0.BEDRMS OMMERCIAL DESCRIPTION: A -1UN-7[STS <br /> : C <br /> ms"dence 3 r_�_. ®New ❑Replace I LI <br /> RATING: S=Site suitable for syste U=Site unsuitable for system I <br /> AROUN <br /> OZ ❑U NS ❑ INGMS EJU EIS IZUL EISG®U TANK:JRCOI�VENDED fJ1�rIQ SYSTEM:(optional) <br /> FIf Percolation Tests are NOT require DESIGN RATE: If any portion of the tested area is in the <br /> s. ILHR 83.0915)(b),indicate ��� Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL PTH GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- ) 72 �.� - > 72 c7 531�ns S- 3� 12wts 3%- 12 gfV1g5 <br /> B 2 orJ� > 72 a ms '�2 �ms 2 2BNns <br /> B- 3 '72- 1 r o >72- o 5V Ims D o -37,Liom <br /> _r <br /> B- -t 7 z 913 oldE > Z o z Z <br /> � - <br /> B-S I )2 3� D E > �Z 1 " � <br /> B jL <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN IOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> E NUMBER INCHES AFTERSWEI.LING INTERVAL-MIN. P I Dt PERIOD 2 P R PERINCH <br /> P I 2 140 2 f t, '� <br /> P.2 7/3 3/ /ry <br /> P- <br /> P_ <br /> P_ <br /> PLOT PLAN: Show locations of pe colation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- <br /> zontal and vertical elevation referen a 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 ELEVATIO14 �5• <br /> SCW� Int_ b0� UAI�E55, pIQTED __< i _ , <br /> A $h 100 14RIL 114 'S" RE-0 019K i •_E.yEL1AW RIDER iZO, <br /> F 12IE 4 29039 <br /> 7c. <br /> t <br /> LTN <br /> yELIO <br /> wE <br /> RIVER $cab <br /> t� <br /> MIEI <br /> 6P ; <br /> _ PL gmx So <br /> y <br /> 1, the undersigned, hereby certify ti at 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 d to recorded and the location of the tests are correct to the best of my knowledge and belief. <br /> NAME(pant - TESTS WERE COMPLETED ON: <br /> KtHaR fro?/</nl5 - 11 _ _ <br /> ADDRESS CERTI ICATION NUMBER: PHONE NUMBERIoptionall'. <br /> 5 lJl . S �b93 c IIS <br /> CST SIGNATURE: <br /> r <br /> DISTRIBUTION: Original and one opy to Local Authority, Property Owner and Soil Tester. <br />