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DEPARTMENT OF <br />REPORT ON SOIL BORINGS AND <br />SAFETY &BUILDINGS <br />DEPTH TO GROUNDWATER <br />-INCHES <br />CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH <br />TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) <br />OBSERVED <br />ON <br />LABOR AND <br />O <br />PERCOLATION TESTS (115) <br />HUMAN RELATIONS <br />y 9i <br />B-;— <br />MADISON WI 5DIVI3 69 <br />,.¢ <br />. (H63.090) & Chapter 145.045) <br />S .7 <br />LOCATION: <br />'/ <br />SECTION: <br />/ <br />N/R w <br />TOWNSHIP/MWN+ev)i# TT? ' <br />OT NO.:BLK. <br />NO.: <br />SUBDIVISION NAME: <br />C <br />.� z <br />�(or) <br />z c_ �= <br />/viler <br />B- `/5 <br />ro� <br />.�/� <br />COUNTY: <br />OWNER'S BUYER'S NAME: <br />r <br />MAILING ADDR SS: <br />-5,,'e ISG <br />JSE <br />DATES OBSERVATIONS MADE <br />�esTdence <br />NO. BEDRMS.: <br />COMMERCIAL DESCRIPTION: <br />XNew ❑ Replace <br />PROFI E D S RIP IONS: <br />^ <br />E ATION TESTS: <br />n <br />od <br />RATING: S= Site suitable for system U= Site unsuitable for system <br />If Percolation Tests are NOT required DESIGN RATE: <br />under s.H63.09(5)(b), indicate: d/ .4 1 <br />PROFILE DESCRIPTIONS <br />30RING <br />VUMBER <br />TOTAL <br />DEPTH IN, <br />ELEVATION <br />DEPTH TO GROUNDWATER <br />-INCHES <br />CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH <br />TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) <br />OBSERVED <br />EST.71-ff—HEST <br />'o <br />O <br />t <br />P- <br />y 9i <br />B-;— <br />d <br />,.¢ <br />71-/' <br />S .7 <br />B-3 <br />p <br />9 <br />P- 6 <br />B- `/5 <br />ro� <br />y�f�• O <br />d l�or <br />ice` ��- <br />�' .i /. / �!� .�.F' ,� <br />PERCOLATION TESTS <br />ItaI <br />VUMBER <br />UtY I H <br />INCHES <br />WA I EH IN HULL <br />AFTERSWELLING <br />TEST TIME <br />INTERVAL -MIN. <br />PERIOD 1 <br />DROP IN WATER LEVEL -INCHES RATE MINUTES <br />PERIOD P R PER INCH <br />P_ <br />j `/ <br />'o <br />O <br />t <br />P- <br />y 9i <br />,.q � <br />d <br />,.¢ <br />P- <br />No <br />p <br />9 <br />P- 6 <br />Yc <br />!3 <br />j <br />.OT 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 />ntal 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 />land slope. <br />SYSTEM ELEVATION 990- 7 <br />7 i <br />INi <br />j, <br />I / <br />I"_ I. Gll"' I /(� I I I I I I I I n I I i 'i 14' le. <br />the undersigned, hereby certify that the soil tests reped on this form were made by me in actor with the procedures and methods specified in the Wisconsin <br />Iministrative Code, and that the data recorded and <br />location of the tests are correct to the best of y knowledge and belief. <br />kME (pr)nt): / TESTS WERE COMPLETED ON: <br />RESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): <br />4 <br />STRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. <br />LHR -SBD -6395 (R. 02/82) — OVER — <br />