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,OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> DIVISION <br /> �fiELATIONS p /� <br /> PERCOLATION TESTS (115) MADISON W153707 <br /> (ILHR 83.09(1) & Chapter 145) OX"--/,5 <br /> TION: <br /> IN: SECTION: N/R E (or)W TOW NSHI P/M ISIC PALITY: LO O.:BLK.NO.: SUBOI VISI ON NAME: <br /> UNTY: OWNER'S BUYER'S NAME: S MAILING ADDRESS: rN7 N <br /> U E T TVRit Xf 2 &yA Mop,6pM b) -N D <br /> DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMER IAL DESCRIPTION: 11��I IPROFIL ONS:1PERCOLATIONTESTS: <br />.Residence �/ ip New ❑Replace C�I��QO L'—/— !B <br /> TING:S=Site suitable for system U=Site unsuitable for system 1!JJ 0000 J ✓ O <br /> NVENTIONAL: MOUND: IN-GROUND-PRESSURE: S STEM-IN-FI LLHOLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> RS ❑U NS ❑U ,KS ❑U ❑S IKU ❑S ®U CONL) <br />'ercolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the <br /> der s. ILHR 83.09(5)(b),indicate: IL Floodplain,indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> RING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> MBER DEPTH IN, OBSERVED EST. HIGHESTTO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> $5 1 oo'S" NONE > 31S o-6 BI sl 6-'35 BN ms <br /> 7- $� ! QO• � nlo�lE > �S (�"rjTjl s� g5 BNf1tS <br /> 3 �5 !oZ ,y NDNt > <br /> `t �� 1 D S, a-- NoI ? $S 0-6 <br /> 5 5 �5 6-I <br /> PERCOLATION TESTS <br /> FEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br />)MBER INCHES AFTERSWELLING INTERVAL-MIN. P RIOD1 P RIOD2 P PERINCH <br /> 0 s / 3 <br /> 2 P 0 2 / 3 <br /> 3 3 <br /> IT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- <br />:al and vertical elevation reference points and show their location on the plot plan. Show <br /> ww(thhje surface elevation at all borings and the direction and percent <br /> and slope. p pP�4Lsrr�/"r L'� / ,-,so/J Co/ <br /> rSTEM ELEVATION 9��' .a�), /003 pw pAJif loo /JA/[.!N lo",1W oAk <br /> N_p �E2C <br /> • BODE <br /> p �U�G�16pM� <br /> TN <br /> 4 O�°��► <br /> 3 <br /> F /Gg <br /> he undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin <br /> ninistrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. <br /> ME (print): TESTS WERE COMPLETED ON: <br /> L11444 hWeIIJ5 s 13- 4& <br /> DRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> lrJL��S W I y89 360 y!' <br /> CSI.$IG ATU E: <br />'TRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. (� / <br />-HR-SBD-6395 (R 10/83) —OVER — !/ <br />