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EH 115 Rev. 9/78 <br />REPORT ON -SOIL BORINGS AND PERCOLATION TESTS <br />WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES <br />P.O. BOX 309, MADISON, WISCONSIN 53701 <br />LOCATION:'/4,A ''/<, Section �: T C N,RLI:'(or) W, Township or Municipality << 'J S ( 1N.., <br />Lot No. , Block No. County V` n <br />ivislon Name <br />Owner's/Buyers Name: C, t <br />Mailing Address: a . <br />TYPE OF OCCUPANCY: ResidenceNo. of Bedrooms �-- COMMERCIAL <br />EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT -ALTERNATE SYSTEM -OTHER <br />DATES OBSERVATIONS MADE: SOIL BORINGS_�_�� PERCOLATION TESTS d <br />SOIL MAP SHEET NAME OF SOIL MAP UNIT <br />PERCOLATION TESTS <br />TEST <br />TOTAL DEPTH <br />DEPTH TO GROUNDWATER, INCHES <br />CHARACTER OF SOIL WITH THICKNESS, COLOR, <br />HOURS <br />WATER IN <br />TEST TIME <br />DROP IN WATER LEVEL, INCHES RATE <br />NUM- <br />DEPTH <br />INCHES <br />CHARACTER OF SOIL <br />THICKNESS IN INCHES <br />IF OBSERVED IN INCHES <br />SINCE HOLE <br />HOLE AFTERINTERVAL <br />MIN/IN <br />BER <br />INCHES <br />1ST WETTED <br />SWELLING <br />IN MINUTES <br />PERIOD 1 <br />PERIOD 2 <br />PERIOD 3 <br />P— <br />J E <br />`-�` . J 1.L <br />/� <br />- , <br />P <br />(�. <br />t t <br />r e <br />l <br />P— <br />P— <br />P— <br />SOIL BORING TESTS <br />TEST <br />TOTAL DEPTH <br />DEPTH TO GROUNDWATER, INCHES <br />CHARACTER OF SOIL WITH THICKNESS, COLOR, <br />TEXTURE, MOTTLING AND DEPTH TO BEDROCK <br />NUMBER <br />INCHES <br />OBSERVED ESTIMATED HIGHEST <br />IF OBSERVED IN INCHES <br />PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the pi helqcation and square feet of suitable areas. <br />Indicate number of square feet of absorption area needed for building type and occupancy .Indicate scale or distances. <br />Give horizontal and vertical reference points. Indicate slo4 C14 <br />y - <br />614 <br />fat <br />I N <br />