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DEPARTMENT OFREPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> HLABOR UMAN 76 <br /> NDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> ((LHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: TOWNSHIP/MUNICIP LITY: OT NO.'BLK NO.: SUBDIVISION NAME: <br /> e,L )/ 2-)/ A /T-XN/R/ E (oIW SC� <br /> COUNTY: MAILIN ADDRESS: <br /> ,e/(1L7 7' ccs t�i¢7-TVE72 IX615 ACLr 0�0 94c& R .(S /;Vw, Say/ <br /> USE DATES OBSERVATIONS MADE <br /> NO.BE MS: COMM R IAL DESCRIPTION: <br /> %esidence w ❑Replace ��- <br /> [ -7(/ <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> ©s ❑uaS ❑u SS ❑u �S ❑u ❑S ®u OC?A.) <br /> � <br /> If Percolation Tests are NOT required DESIGN RATE: FF", <br /> f any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(bl,indicate: Floodplain, indicate Floodplain elevation: LJA <br /> PROFILE DESCRIPTIONS <br /> BORING TOTALPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGH TO BEDROCK IF OBSERVED(SEE ASBRV.ON BACK.) <br /> B- l 16 5'7.6 ` nlov� > S6 3„ 3L LS TS, /o' Rt5 �s3R wi✓) S. <br /> B- 2 7,;I-° 954, <br /> _ r10AA5 7 7Z" 3, L 7S, iZ OieD_S <br /> B- <br /> g- Qk rct A LT - i2" c:-aV1t0N F-i?p" <br /> e- )� ul orL . r lJ t eO« I j Wt <br /> B- l t77A' irc? 01 Dq TfZ:; 5_11119-'S1 <br /> PERCOLATION TESTS <br />} F <br /> DEPTH WATER IN HOLE TEST TIME D I WA R L V L-IN H S RATE MINUTES <br /> IN ES AFTERSWELLING INTERVAL-MIN. p RI Dt P RI D2 PERINCH <br /> Z- ! A rp CSS' A f 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. 93 G0 <br /> G <br /> Ix I <br /> x <br /> µ <br /> t <br /> t <br /> I <br /> NA SCstr <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 method 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 ( ntl: TESTS WERE COMPLETE ON: <br /> _ D / 7 O <br /> ADD ESS' CERTIFICATI N NU ER: PH NE NUMBER(optional): <br /> CST RE: t <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBDb395 (R. 10/83) -OVER - <br />