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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 <br /> 3707 <br /> HUMAN RELATIONS MADISON,WI 53707 <br /> (ILHR 83.0911) & Chapter 145) 12 o - IS6q 13.>% A(REs <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: RftfER <br /> �/ �/ co /T N/R 6 E (q D KLA vo9f.193•4 2 ADI) R uN5 HIES <br /> COUNTY: MAILING ADDRESS: <br /> DLA MARK In I A E 3o20 Cwmp, Fo. PR oR Uc. MIJ . S ? <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: pI PR F DESCRIPTIONS: R ATION TESTS: <br /> ❑Residence -7 yy New [:]Replace PR <br /> -Z2.- 61 - ��- 9;j <br /> RATING: S=Site suitable for system U=Site unsuitable for system •..7 1 1'i <br /> ON ENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLD ING T NK:RECOMMENDED SYSTEM:(optional) <br /> 571 <br /> S ❑U x 11UNS ❑U ®S ❑U ❑S OU I towVE MONfdL <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: lr_�__ Floodplain, indicate Floodplain elevation: NA <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL PTH T GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN. ELEVATION OBSERVED HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- I '72 9.8 NONE (off 0 - 115WS "1- (D'1 $N• _s 1 2 sw mo <br /> B- z IS 99.7— ONE � ' $- 1g8afs <br /> 0146- <br /> B- 3 Z 9`1.8 nl ogE 1,8 <br /> B- 1$ 99. 3 NOME >18 °- (' s I, s <br /> B 5 Z 1.$ lJOnIE (�fl 0-1 1 1 s b� z N wR fmolt' <br /> IB- <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 PERIOD PERIOD 3 PERINCH <br /> P. i 5 I -v 3 <br /> P- z 3,7 5 s 11y1t, 1 1SIL <br /> P- 7/ <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 E EVATION qb. I <br /> � <br /> b I <br /> �$M l0>zl4A1t� �l lig Q�K . t <br /> - . N <br /> 2 H Rawogo <br /> X70 3 _ <br /> �o 0,mISINn <br /> I,the un ersigned, hereby certify that the soil tests reported on this S a 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 COMPLETED ON: <br /> I( HRRn 14QPklldS 3 - 2-2- <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 5 o is- <br /> Z7 to �6- <br /> 111 q CST SIGNATURE: - <br /> DISTRIBUTION: Original and one c ocal Autho fty, Property Owner and Soil Tester. G j V 3 " �0 <br /> DILHR-SBD-8395 (R. 10/83) OVER — <br />