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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND P.O. BOX <br /> 7969 <br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON,WI 537073707 <br /> (I LHR 83.09(1) & Chapter 145) <br /> LOCATI N: '/ SECTION E Ip TOWNSHIP/MtlNfCtt prrmy: OT NO.:BLK.NO.: SUBDIVISION NAME, /��ikf5 <br /> 1/4 Toru ` 1:55rCLlirzS /u U1/ /' /7 <br /> CO NTV: MAI LING ADDR SS: <br /> z70 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: CO R IAL DESCRIPTION: �( PERCOLATION TESTS: <br /> Residence �— 4S1 New ❑Replace <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> N ENTIOJQ ENN ou IN-G�s oY E: SVS❑TEM-I®ILL OL❑DING�NK:RESrOMMEND ED SYSTEM:(optional) <br /> SS UU ENS SS U S U COrlu�i7�7or,12/ _ <br /> DESIGN RATE: <br /> If Percolation Tests are NOT required If any portion of the tested area is in the <br /> under s. ILHR 83.0915)Ibl,indicate: Floodplain,indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO ROUN DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DE�P7T�H IN, ELEV/JATION ,OBSERVED ST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B 7 01 > 'r -5';04 /-r/ <br /> lv 41 B /�; "�7"�/s;�7"_7?"ba ne .s <br /> B- ,3/ �� Q La orz✓ > 0-5 61 <br /> B- `/ 977 /'/Or- >;Ni 1,5;,75"- 7,3"/5-717'ed.s <br /> B- <br /> PERCOLATION TESTS <br /> CTEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> i NUMBER INCHES- AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 P PERI CH <br /> P_ 3" n 3 <br /> P- 3" <br /> P- 3 " 3 5 <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. <br /> Ail <br /> N <br /> ,BN/-/L/)O,O <br /> of /d' Da E <br /> I <br /> 1 <br /> I <br /> I I <br /> l P 340 t--1 J <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 COMPLETED ON: <br /> D <br /> AD ESS: CERT(F NUMBER: P ONE NUMBER(optional): <br /> D. &Y /C3 yjt, e, u/I z1�9c3 �5��3 - <br /> CST SIGNATURE: <br /> aolG . 7 <br /> DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester, <br /> DILHR SBD-6395 (R, 10/83) -OVER - <br />