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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> UVDUSTRY, MADISON, 7969 LABOR AND PERCOLATION TESTS (115) P.O. BOX SON,WI 537073707 <br /> HUMAN RELATIONS `j r , <br /> ((LHR 83.0911) & Chapter 745) d4�__J <br /> LOCATION: SECTION: TOWNSHIP/ " ""^H'4"TY: LOT NO.:B NO.: SUB VISION NAME: <br /> Sw�/sE '/a 4b /T /N/Rf /(or,W Swiss �/� <br /> CBUNITY: �/�'' OWNER'S ER'S�{/yAME: MAIL .y-ADD ESS,p ,! p <br /> V r /I 'f'o n 4 r ® I l /-� 1 <br /> DATES OBSERVATIONS MADE <br /> USE <br /> p1 NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILED SCR( TIONS: ER OLATION TESTS: <br /> ip Residence New ❑Replace I y_� y_ �5-- -a,y- S'- <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: M,OU� IN_ -GROUND-PRESSURE: SYSTEM-IN-FIL[ :1 ]1: 1 TANK: RECOMMENDED SYSTEM:(optional) <br /> ®S ❑U I S KQUl 29S ❑U ❑S NO ❑S M <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: I Floodplain,indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL D 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- .1 7 a o irvt d f- <br /> � o . r R <br /> B- 3 7.i I I �.�-. 6" C S /P 6 'f " /fVl e' Jp <br /> B" <br /> B s > > 6 f's kc- 6S <br /> B- � 7 fid- �,,� fr R S <br /> PERCOLATION TESTS <br /> WINCHESAFTER <br /> IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES TRATEMIINNCUHTES <br /> WELLING INTERVAL-MIN. PERIOD ( PERIOD2 P R D/o /d a /Y' >/8 c U a aoov <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 rG a <br /> /oaX3s b iSore ytl <br /> f(9 3S-o'er 1� $� ''F'7- SttIU4, <br /> Gill <br /> /o 0 <br /> )lya' rrR <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 /> NA (pri tl' TESTS WERE COMPLETED ON: <br /> AD RESS: CERT( (CATION NUMBER: PHONE NUMBER(optional): <br /> C- 1 3 • �s'. <br /> w CS GINA URE: /I <br /> --0 <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DI LHR-SBD-6395 (R. 10/83) -OVER - <br />