Laserfiche WebLink
SAFETY&BUILDINGS <br /> DEPARTMENT OF REPORT ON SOIL BORINGS AND 2 DIVISION <br /> INDUSTRY, P.O.Box 1W <br /> LABOR AND PERCOLATION TESTS (115) / MADISON,WI IW07 <br /> HUMAN RELATIONS (1-163.090)&Chapter (45.045) <br /> TOWNSHIP/ ITV: O_ NO•. LK.NO.: SUED vASION A <br /> LOCATION: SE3 TION:T p� � N� � <br /> )�40 �4 (l /1q1 N/1t) r(or)W <br /> C NTV O RS jr <br /> I'� J idly <br /> 4,f� Y DATE80Wii4VA MADE <br /> USEp <br /> NO.BEDRMS.: COMM R AL DESCRIPTION: 11��'' Replace � ^^}' <br /> Lprvew rte. rt. <br /> RAWL <br /> esidence <br /> RATING: <br /> RATING:S=Site suitable for system U=Site unsuitable for system optional) <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: S STEM-IN-FILL OLDINGTANK RECDMMENDED,SYSTEAI' <br /> �S ❑U ®S DU , S DU OS ®U US ®U _N <br /> DESIGN RATE: I If any Porion of the tested ares i7la 1M <br /> FIf Percolation Tests are NOT required Floodplain indicate Floodplain a*"*-;R: <br /> under s.H63.09(5)lb),indicate: _ <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL P H R UND ATER-INCHES <br /> R S IL WI E H <br /> NUMBER DEPTH IN, ELEVATION OBSERVED TO BEDR CK IF OBSERVED ISEE AB V.ONBAfCK.) <br /> B-a �� �� >�a 6"a y '' S e <br /> B-� 0 9 � � r 7 If &K P <br /> So <br /> B-r � 9 <br /> B-6 8 � y � t,e tt , G1 s <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RAMINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. P RI D P PERIOD 3 PER INCH <br /> P_ 01_ <br /> P- o U 0I ZY oZ 3 <br /> P. <br /> P. <br /> P- 10 10 i <br /> PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions o 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 pl Show the surface elevation at all borings and the direction and percent <br /> of land slope. <br /> SYSTEM ELEVATION 9 �. <br /> a3p <br /> — ,_ 14 - -- <br /> No <br /> L,w,-,^ 8r7 �. 3X a00 <br /> ste"TQ 4, �,+f � <br /> _-I./Methods <br /> L.._ .L_. -_ <br /> I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures 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 /> N E I inti: �,-- TESTS WERE COMPLETED ON: <br /> u lertc I > n <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> V 7,-s-X -4fs <br /> CSJJJJJJ <br /> N TU E: ` <br /> llllll : ,. <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R.02/82) —OVER — <br />