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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILW <br /> INDUSTRY, P969 <br /> LABOR AND PERCOLATION TESTS (115) 0 <br /> HUMAN RELATIONS 7MADI ON,WI 53707 <br /> (ILHR 83.0911) & Chapter 145) <br /> LOCA E'/SItJ'/, F /n/R//o E (a TOWNSH 1aMU ICRP SO ,.BLK.NO: S D TI S-1 NAME: <br /> //:KC7! <br /> CO NTV: U R'S NAME: MAI LIN ADDR S:/ne 3 ,Pea/ ;%Ifi ,�/ , 177.4/ 56'057 <br /> USE DATES OBSERVATIONS MADE <br /> NQ BEDR C MM AL S RIPTION PERCOLATIOWTESTS: <br /> �Residance wNew ❑Replace k170,rcA <br /> 7 / p �16h 719 <br /> RATING:S-Site suitable for system U=Site unsuitable for system /' <br /> ONVENTIO❑NAL: M Lj S,❑u IN-GROUN ❑Q E: SVSOTEM-IN-FILL pOLDING TA� . q p�MMENDED V�7�g�'� phonal) <br /> If Percolation Tests areNOTrequired DESIGN RATE: S U If an C <br /> Y Portion of the tested area is in the <br /> under s. ILHR 63.09(5)1b1,indicate: Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL ELEVATION PTH T GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLtEXTURE,AND DEPTH <br /> NUMBER DEPTH IN, n OBSERVED II HE TO BEDROCK IFOBSERVED (SEE ABBRV.ON B 7 " A/Q�C < /�aB- a '-?" 99• ,i/onG < 7� • -/,'"6/J�' •/' �3fo'"4+ �.,o; �L w me <br /> B 3 2?' �j? S �/on ,� o -9,,,e/a/' "-37'"A's m a/ /� , / 9 J7m,1 <br /> B- 4 7o)" 97. A10,)C � .r _l,"B/a/• 9'- 3fo`b+�na/ 3G�- �7 n na <br /> B- 7�?" 97 /uo/7G < �" -/O`Q✓J, ,n"-3�"6nmJi3P'r- "// 6n mJ <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DRO I WATER L V L-IN HES RATE MINUTES <br /> NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERI D1 RI D PER INCH <br /> P- / 30" 0 15 151173 <br /> P- -� fir, aao 0 3 /v s 3 <br /> P- 3 None, <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 distar ces. 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 borin s and the direction and percent <br /> of land slope. <br /> SYSTEM ELEVATION <br /> BM'1[10.0 �SPne/vr,Q.L.,.�Qi/ in ,circ or/S` oaL <br /> o �rG <br /> A &rinO <br /> TN <br /> pe •°'" <br /> 62L�iot 83 <br /> Ve//Ola/ <br /> 4* er- b` <br /> ,?ood <br /> I,the undersign , hereby certify that the soil tests reported on this form were made by mein accord with the procedures and methods specified in the Wisconsin <br /> Administrative Code,and that the data recorded and the locetion of the tests are correct to the best of my knowledge and belief. <br /> NAME Iprintl: TESTS WERE COMPLETED N: <br /> ADDRESS: <br /> cx� _ /1�,91M 7, /9 RF <br /> CERTI FICATION NUMBER: PHONE NUMBER Ioptionall: <br /> X �b?S ).✓eb3>'e�, X12- nVF,Yj &553 P(nlo - 7aPG <br /> CST SIGNATURE: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. 4 <br /> DILHR-SBD-6395 (R. 10/63) —OVER — <br />