Laserfiche WebLink
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOIR,AND P.O. BOX 769 <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> (ILHR 83.0917) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: StlBBF4i616fCNSi7e}2: <br /> Fj /T1{ 01� E (p )W ORKLp clL <br /> COUNTY: MAILING ADDRESS: <br /> USE DATES OBSE ATIONS MADE <br /> Residence <br /> NO.BEDRMS.: COMMER IAL DESCRIPTION: I ONS: PERCOLATION TESTS: <br /> rj ^� ]New ❑Replace I, ��2 - An <br /> L II l IL q- 23 -92 <br /> RATING:S=Site suitab��llle for system U=Site unsuitable for system Ct�/I <br /> NO: <br /> ImN JTI❑U MIL]IS �U ING�S PHEtZ;U❑U E: SIBS I❑UL I tEJU TANRTEM:CO1�V�. ON L (optional) <br /> iIf Percolation Tests are NOT required DESSIIG�N RATE: IrX^'I If any portion of the tested area is in the y] <br /> under s. ILHR 83.09(5)161,indicate: 1 u Floodplain, indicate Floodplain elevation: �F7 <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—P—IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- I SC) S r NOME > SO <br /> B-2 $O NDME >SQ 0- 55I1"15 5 -SO&tA,5 <br /> 13-3 SO 9 q.Z, tgoj >86 0-(P Blm_s <br /> B- `I Z 2•? NoNI I >72 0- b BI& � '1ZONrns <br /> B-5 72 q,7 •�7 t4046 > '12 0- 11 bift-isb- Z6NM3 <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. P RIOD1 PERIOD2 PERIOD PER INCH <br /> P NO iris 3 . 3 <br /> P A o Z 17 <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 92. -Z 90.7 <br /> SCw�E (.,- `or t7N t�.55 rlo-fEp' r_ <br /> A16M 1DIP MILN [6,'*E0 DRY <br /> WE-4L-Tb >Sir �fKar BEv <br /> T N <br /> 3 L�� <br /> 5 <br /> gYRoX. <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and metro s spp-ecified in the Wisc yjei <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. t H 1.7M - M51 <br /> S M 9° q <br /> NAME (print): TESTS WERE COMPLETED ON: Z I <br /> FICHPIZO Hop K/us y - 23 - 9Z <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMB (optional): <br /> 2�?foo Hw S WE.B5� Wi• •58893 (ado (5-ebb /57 <br /> CST IGNATURE: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soft Tester. <br /> DILHR-SBD-8395 (R. 10/83) —OVER — <br />