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DEPARTMENT OF REPORT ON 5011 BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, L as DIVISION <br /> LABOR,AN` HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON,WI53709 <br /> [� (H63.090)& Chapter 145.045) <br /> Nw'OI%� ^U /Ti/o N/R�rVhorIW IN TDWNSH�P JNC^ALITY: Lo7iil D.:BLK. 5u`' L /s N1 � a/ y <br /> IC[[QQJJUNTV: y} OW FyR'S/BUYER'S NAf/�]�� Tom• AI LING'7A�DDRE55:pr y /'�7 <br /> U4fIIe II IG �41 � ••"QL!✓M C9n /Y S/4f, /L1 (./JP /OJ /4•� <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRv . COMME AL DESCRIPTION] FIL DE IPTIONS: PERCOL TI TESTS <br /> Residence '1 New ❑Replace I 6 _ �-a _ .�'Y �J a- , • 4p 7 <br /> RATING:S•Site suitable for system U-Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GPOUN6R,ESSUR S STEM IN FILL HOLDING TANK:RECOMMENDED SVSTEM:Ipptipna0 <br /> l�S ❑U ®S ❑U . 2S ❑U I ®U ❑S �U Co �v✓ <br /> 1!Percoo'ian Tests are NOT reunited DESIGN RATE: II any Portion of the tested area is in the <br /> under s.H63.09(5)Ibl,indicate: Floodplain, indicate Floodplain elevauo( <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNDWATERINCHESCHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHE T TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.( <br /> B- go 9 7. N a gj Hz. 7 e o &-de" CSL 'f " <br /> B- e s� 77. > Y 01 5- "e'e (s^ 7,T " AyYJ d S <br /> tl is <br /> n S- <br /> 7 TO 'i <br /> ^ Cr Sa. <br /> B- y 8 97. Y e s"da, ( - 7,T .. <br /> B-cS d a S " �To S " BnCr •7S " T S <br /> 77 > 3'-O s," Q (Sr S '" ins, 5 <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. RI t PERI P PER INCH <br /> P- V Q A. 3 <br /> P _ A) 3 <br /> / <br /> P <br /> P. <br /> P- _ <br /> PLOT PLAN: She. locations of percolation tests, .it borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the horn <br /> ental and vertical elevation reference points and show their lora,ion on the plot plan. Show the surface elevation at all borings and the direction and Mroent <br /> of land slope. <br /> SYSTEM ELEVATION 9Z/, S <br /> SIC C/ rf� Yl71 �r7J��- � ��fft�_ (Pon CPC4) <br /> d _ <br /> d /BlNloo I I I I I 1 11Greg <br /> S Ig " Lc <br /> b7o Re_ Q-K <br /> 0 <br /> moi/ TN <br /> � '—I— ,- — <br /> I �O E---- 9 L� i i --- <br /> 1 <br /> I aiP �5 _/O ito E¢�T a/ Rcu � <br /> 'r I 4. Q T" fPd is <br /> - <br /> PJTI—R��� <br /> I,the undersigned, hereby certify that the sell tests reported an this farm were made by me in accord with the procedures and methods speeilied in the Wisconsin <br /> Administrative Corte,and that the data recorded and the location of the tests are correct to the treat of an,knowledge and belief. <br /> -Iy0TESTSWERE COMPLETED ON:I : CY^ G 60' -of <br /> Sic/ <br /> ADDRESS: <br /> W S^ CERTIFICATION NUMBER: NUMBE6R-(nvatio�nal). <br /> 6 <br /> C G Ay�RE: / <br /> ci'Plw��y�L �' J2L-R <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Sot,Tester. a-Y✓ <br />,DILHR SBD63951R.02102)_ ` OVER '1 <br />