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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, C DIVISION <br /> LAB <br /> BOX 769 <br /> HUMRE <br /> OAN DLATIONS PERCOLATION TESTS (115) MADISON WI 537907 <br /> (H63.090) &Chapter 145.045) <br /> LOCATION:- SECTION: TOWqNNSHIP/`MUNICIPA ITV: LOT NO.:BL'K./N/O�.: SUBDIV�SION NAME: <br /> S'w '/ a / /T5/o N/R/4 I(or)IN t r 1 a N/r <br /> CWNTV: OWNER'S BUYER'S NAME: MAILING ADDRESS: <br /> L5"tirin,e it 1s NIP Inr7nR- ll 6 1yb <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMB.: COMMER IAL DESCRIPTION: PROFIC D IPTIONS: PERCOLATION TESTS: <br /> %Residence te� ew ❑Replace I <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FI LLHOLDI NG TANK: RECOMMENDED SYSTEM:(optional) <br /> [�S ❑U �S ❑U C57S ❑U ❑S [YU ❑SQU I C# 0NV. <br /> If Percolation Tests are NOT required DESIGN RATE: <br /> 9 If any portion of the tested area is in the <br /> under s.H63.09(5)(b),indicate: I Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST. HEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- I 'q /o .0 ©ue <br /> B- 7 r'lJr94f � Ft' <br /> B- lV / �— y, I ' `/ I "r)84 h s- I f I, l <br /> PERCOLATION TESTS Y/ <br /> F—. - <br /> PLOT <br /> DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> INCHES AFTER SWELLING INTERVAL-MIN. PERIOD1 PERIOD2 PERIOD PERINCH <br /> 02 IV 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 O <br /> of land slope. <br /> SYSTEM ELEVATION �j p ra�asY s�F G / y b' <br /> M4tL / N VtlSrq /� 0 © r <br /> r .. / 1 ' a 3 . . . _ <br /> © 4fi $ �w. /moo o 4Kc � N <br /> lo,�y i <br /> 1,the undersigned, hereby certify that the soil tests reported on this form were AdIk me,n accord with thhe 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 /> NAM pri 1: TESTS WERE COMPLETED ON: <br /> of*�� � a �C n � 3 - aI _ fy <br /> ADDRESS: �T CERTIFICATION NUMBER: PHONE NUM BER(optional): <br /> cN � 6 � r Tyr- /S <br /> N TUR <br /> ` ty <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R.02/82) —OVER — <br />