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JLI`AH IIVI ciV1 Ur' �t... d I � 04 %- il- 6vr(I14bb /SNI JHrtI r tY [SUIL IS:lN <br /> INDUSTRY, L. V V V /l1, DIVISION <br /> LABOR ANDPERCOLATION TESTS 1P.O. BOX 7969 <br /> 115 <br /> HUMAN RELATIONS 1 ) MADISON,WI 53707 <br /> OL'HR 83.09(1) &Chapter 145) <br /> LOCATION: SE TION: TOWNSHIP/MUNICIPALITY: OT NO.:BLK.NO.: Skf881u16�AN-NAMi: <br /> W '/4 `AJ) V4 2—q /T 11/R15E (e W ;TKMN ., l 4 , 1, . , <br /> COUNTY: MAI LINU ADDR SS <br /> 59&-7r M9QAZ 2= M.-RD- P . . 5016 <br /> USE DATES OBSERVATIONS MADE <br /> NO.B DR : COMMCIAL DESCRIPTION] ROFTCnE6ES / /� Q E S: <br /> -71 <br /> ❑Residence 3 1 —^ �', �; ��New ❑Replace.., ,I " -. l �.,q2 .i V' 1 ' (� <br /> RATING:S-Site suitable for system Ui'Site unsuitable fon system:; s :i ;-..!_„ <br /> OW STEJU . J'N�.❑� IN-G UND-�ESSUR. ,E: 5 ST�M-1 N❑-F,ILL •p❑LDING T K,RECOMMENDED�YSTEM:(pptlonal) <br /> S UU S U S OU �oetUf �V <br /> If Percolation Tests af eOTqe <br /> f .� If any required d DESIGN RATE: y portion of the tested area is in the �. <br /> .i r. <br /> under s. ILHR 83.09(5)(b),indicate: t`-� Floodplain, indicate Floodplain elevation; Np <br /> RROPILE DESCRIPTIONS <br /> BORING TOTAL PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR TEXTURE,AND DEPTH <br /> NUMBER DEPtH IN, ELEVATION OBSERVED EST.HIGHESTTO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- S o-,86l Ana. 8-'153Nrr1s. :,,: . <br /> O- BIWIi r1' Nftu <br /> B- 2 7.8 > <br /> D- lrns El- o13Npns <br /> B-3 3 Bo 6.S > go <br /> B_ ZONE 2 <br /> B <br /> B- <br /> PERCOLATION TESTS <br /> TEST I <br /> DEPTH WATER IN HOLE TEST TIME . DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. p 13 D R PERINCH <br /> PIt <br /> I S /t 6 <br /> P <br /> P- Z2_ ND vi I �� • <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 hori- <br /> zontal and vertical elevation reference points.all show their location on the plot plan. Show the surface elevation at all borings and the direction and percent <br /> of land slope. AL-T- <br /> SYSTEM ELEVATION 91.7 93- I y <br /> g <br /> JII _00 <br /> — N b <br /> r f <br /> --� -- N <br /> �- __ - ---- - - -- -- -- I77- <br /> rp W - - — - <br /> 1 <br /> the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin <br /> kdministrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. <br /> DAME (print): - - TESTS WERE COMPLETED ON: <br /> Ic A oP 6 - - 3 <br /> ADDRESS: CERTIFICATION NUMBER: PA40NE NUMBER(optional): <br /> 27760 Nwy -35 WEaSTER WI. S" 893 . 3670 - �- <br /> CST GNATURE: <br /> )ISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> )ILHR-SBD-6395 (R. 10/83) -OVER - <br />