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INDUSTRY, <br /> N UST Y, OF REPORT ON SOIL BOKINU5 ANu ,� = r IXOUILV IOj <br /> INDUSTRY, DIVISIOI <br /> LABOR AND PERCOLATION TESTS (115)115 3S $o�zMADISON WI 6376' <br /> HUMAN RELATIONS <br /> (ILHR 83.0911) & Chapter 145)OUT LOT 3 VOL S • ISD 6L. I 3 t4 <br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: OT NO.:BLK.NO.: . <br /> 1/ )/ 25 A-51N/RIG E (.,kv MEErIoN I CSH vOL.I .2-`I <br /> COUNTY: MA LADDR <br /> INRN ASTERSoHN E Y IN <br /> Scvc I SPoONE �l - 51801 <br /> USE _ DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: N A O TESTS: <br /> 1c� <br /> ❑Residence /—� [New ❑Replace - .2.7 - -T,I G - 2-7 - '7 <br /> RATING:S-Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUNDEM-IN-FILL OLDING TANK:RECOMMENDED YSTEM:loptionall <br /> 1:1S ,121.1U ®$ ❑u SfAIJ 10591.1 EIS01,11moutI <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is i the (n1 <br /> under s. ILHR 83.091511b),indicate: ��- Floodplain,indicate Floodplain elev tion:N 1'f <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUP DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELE=VATION OBSERVED EST.HIGHESTTOBEDROCK IF OBSERVED ISEE ABB V.ON BACK.( <br /> 0 � 1ST- 3G151its <br /> B- 1 55- 96.1 NONC 310 <br /> B- 2 <br /> 115 97•1c, DONE <br /> o-7S s ')- 32 a s 32 - $8.1cwRf{fmo$ <br /> B- 3 3a 5• N0116 3z <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> EST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERINCH <br /> P- 140 6 . <br /> P. NU S t t <br /> P- <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 ho <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 perce <br /> of land slope. <br /> SYSTEM ELEVATION 9$• I <br /> Z � c <br /> T �I.f I LU <br /> i I z <br /> hIKI I Y _ I i ` <br /> 331,111CONILIN10_ 1> tl!rQA <br /> R Su_ Pr. . _ <br /> I, the and igned, hereby certify that the soil tests reported on this form were made by me in accord with the procedurf s and methods specified in the Wisconsi. <br /> Administrat ve 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 /> IcH RP PKi '�6 -2-'7 4 <br /> ADDRESS: CERTIFICATION UMBER: PHONE NUMBER(optional) <br /> Z'7-760 w� 3S_ ee fz 1. 48 3 3&70 1 715. 866• y1s7 <br /> CST SIGNATURE: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6396(R. 10/83) - -OVER - <br />