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INDUS DEPARTMENT REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, PERCOLATION TESTS (115) DIVISION <br /> LABOR.AND, P.O. BOX 7969 <br /> H MAN RELATIONS MADISON,W153707 <br /> L/, ' L,3 (1 LHR 83.0911) & Chapter 145) <br /> LOCATION: SECTION: <br /> �/ TOWNSHIP/MUNICIPALITY: LOT N0.:8LK.NO.: <br /> �/ /T`0 N/R R E (p ) U wil �S Ac2E s <br /> COUNTY: MAILING ADDRESS: <br /> MNM MILES PAff:pj�q 1 /47J32_9 SPRiFfORD RD. W . 3 893 <br /> USE DATES OBSERVATION MADE <br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRTP710NS: PERCOLATION 1ESTS: <br /> []Residence 3 (�_ ❑NewReplace <br /> (J - 3o - 93 (, - 30 - �13 11 <br /> RATING:S=Site suitable for system U=Site unsuitable for system(� �I <br /> G�ST�U MX1JJ �U INGMS ❑U E: S®S I❑UL O�G®U RI ��IV�f�[3fJ�ISYSTEM:(optional) <br /> If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the <br /> under s. ILHR 83.09(5)(b),indicate: �� Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL PTH T GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATIGN OBSERVED ES I HE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- ) '?Z 6 NONE 0- lo Blms 10- 6 f nli 6o - ?2,boms w � m <br /> B- Z- 12 q? 3 Norl� (03 �- l M5 ► ums 3 ems W cm m <br /> O - 8 n S. - wms 59 - tjms W Iz� <br /> B- 3 (o(o q6.q NorJ6 5`1 <br /> B- <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PEIOD1 PERIOD2 P PERINCH <br /> P- I 29 N o 1 6 G 3 <br /> P- 2 ZS "A- /yis/IG 3 <br /> P- 2.0N o Y 4 V <br /> P- <br /> P. <br /> P_ <br /> PLOTPLAN: 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 Z <br /> : <br /> �$ _lEp $�K [l�_ :51VIAr? <br /> VTiOl WT W96� �qo6it $Lor, 1M <br /> tN <br /> xv <br /> � t a <br /> I 3 <br /> l <br /> 1 i 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 metho/de specifie in the Wisconsin <br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of nowledg nd'y lig I. <br /> NAME(print): TESTS WERE COMPLETED ON: <br /> 91 CH{}2D o & - 30 - 6�3 <br /> ADDRESS: CERTIFICATION NUMBER: P ONE NUMBER(optional): <br /> 2'7 (o o w 3 ECUS'( W I . S 3670 <br /> CST NATURE: <br /> DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. - <br /> DI LHR-SBD$395 (R. 10/83) —OVER — <br />