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DEPARTMENT OFREPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, � DIVISION <br /> LABOR ANDP.O. BOX 796 <br /> PERCOLATION TESTS (115) MADISON INI 53707 <br /> HUMAN RELATIONS <br /> (I LHR 83.0911) &Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> SE '/4 NU.�'/ 22 /T4o N/Ri6 E (or) Uak2and Tow"h<p pct. E NW <br /> COUNTY: MAILING ADDRESS: <br /> BuAnett I Hehbent Venta 6781 County Road C DanbuAy, WI 54830 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: S: PERCOLATION TS: <br /> ®Residence 2 ______________ ❑New ,Replace ApAtP 2, 1993 Awtit 2, 1993 <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVE TI NAL: MOUND: IN-GROUND-PRESSUR : SYSTEM-IN-FILLOLD]NG TANK:RECOMMENDED SYSTEM:(optional) <br /> E!IS [:1Q ®S ❑U ©S ❑V I EIS U rEJS QX U Conventdanat <br /> If Percolation Tests are NOT required DESIGN RATE: NSA <br /> Q I If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(1 indicate: IL Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATIGN OBSERVED ES HE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B-1 72" 91 .2 None >72" 0-511 Dk Sn tis; 5"-24" Bn Pz; 2411-7211 Bn med. A <br /> 0-511 D Bn 11-19' n - n med. 5 <br /> g.2 72" 90.4 None >72" <br /> B_3 7211 91 None >721, 0-611 Dk Bn tis; 611-1811 Bn Ps; 1811-7211 Bn med. s <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD P PER INCH <br /> P- 1 30" None 5 1 7/16 1 5116 1 3116 4 <br /> P- 9 2011 None 5 1 9/16 1 1/2 1 3/8 4 <br /> P- 2811 None 5 1 112 1 318 114 4 <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 88.7 Scate 111=401 except where noted. <br /> 1 60unttfl 1 1 Road C ' <br /> <a- --- - -'------------ I 1320' 4- - -- -r-- -> <br /> A- <br /> • I i <br /> I <br /> I <br /> BV <br /> P2 <br /> ° a <br /> - Q <br /> D B2 I <br /> 9 `P3 . - - <br /> chrjcv k, HRP & VRP, Battam a,4 dtng _ B _ _ <br /> BM LBaAO Bei °PeAc ! � - <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures andmeth ds 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 wl ge d belief. <br /> NAME (print): T S WERE COMPLETED ON: <br /> Wade Rubehotm ApAif 2, 1993 <br /> ADDRESS: CERTIFICATION NUMBER: I PHONE NUMBER(optional): <br /> 24702 Lind Road P.U. Bax 514 SCAen, WI 54872 3583 (7151 349-7286 <br /> CST SIGNATURE <br /> I� <br /> DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R, 10/83) —OVER — <br />