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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY,- - DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 <br /> HUMAN RELATIONS <br /> (I LHR 83.09(1) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNTCTP 71Tll"' LOT NO.:BLK.NO.: SURD VISION NAME: <br /> , 1/ 1/ 2?' /T38 N11111JIl1 W DGs�dy WA NA 1A <br /> COUNTY: OWNER'S C/1"e" NAME: MAILING ADDRESS: <br /> BU,UE'TT KATHY PFTr,RSON 7,�T ` 1, SH7,,LL LA i;'I 5487 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: ry� PROFIL—ED—ES-CR-1 PTI NS: ER OLATION TESTS: <br /> Residence 144 <br /> []New L Replace AUG 4/87 AUG 4/87 <br /> RATING: S=Site suitable for system U=Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM (optional) <br /> ®S ❑u ®S ❑u MSEA ❑S X❑u ❑S UA 945 sQ TAT B <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: ITA Floodplain, indicate Floodplain elevation: IATA <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL D PTH TO GROUNDWATERINCHESCHARACTER OF SOIL WITH THICKNESS,CO OR, TEXTURE, AND DEPTH <br /> NUMBER DEP IT IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON ACK.) <br /> B- 1 611, 95. 3NONE; > 64 0–e" 5Y:.3/1 sl ts , 8-64" Y_35/6 gr sl. <br /> 0-10" 5Y3? 1 91 ts , 10-24- ' 5YR5 c sl, <br /> R- 2. 56 24. 5 NOTr > 6 24-56" 5Yu5 6 gr sl. <br /> 0-12" 5yRV1 sl ts , 12-36 ' SY25/6 c sl, <br /> B- ? 56 94. 5 NONi�, > 56 ?6— 6,, Y3 6 r sl. <br /> rB <br /> B_ I <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD P R PER INCH <br /> P- 4 28 TIT 0FE; 1 1' 1/4 1 4 <br /> P- 5 18 N0N.7 1 1 1' 1 4 144 -, <br /> P- 6 18 NOLs 3 1/2 1 1 12 <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 distalnces. 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 93.0 ' <br /> O Ido L : N0 AL"' <br /> f•', f T <br /> D Bili L -I'll 100. 0 ' <br /> �erc �co' —t�E—�•-i� NA1011 OAFS TZ SE) <br /> APRO�Y 4.5 AC':_[ S <br /> X A y <br /> 1N <br /> iS yRGN a% 4- SII <br /> 3oe r' <br /> I <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 COMPLETE ON: <br /> ARLYN J . H7=1 AUGUST 4, 7987 <br /> ADDRESS: CERTIFICATION NUMBEPHONE NUMB ER(optional): <br /> O <br /> P. O.B . 71, SPOOITI . '.1I 54801 3331 715-635 7595 <br /> CST <br /> T II� <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. - <br /> DILHR-SBD-6395 (R. 10/83) OVER — <br />