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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) MADISON,W 53707 <br /> HUMAN RELATIONS <br /> CATION: SECTION: TeyfroSmP/ LOT N0.' LK.NO.: SUBDIVISION NAME: <br /> /Tg0N/W41for)W C� geta <br /> C UNTY: QV NNER'S BUYER'S NAME: �F. MA ADUHE <br /> r SO h cA,'v6 5/ t r- l i ' S Y d'f 3 <br /> 9 <br /> USE DATES OBSERVATIONS MADE <br /> NO.BEDRMS.: COMMERCIAL DS RIPTION: <br /> Residence ❑New WReplace r G� r' <br /> Ori : 6 - 16 •� O <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> CON7V�EpNTI NAL: MOUND: IN-GIR�OUFN�D- ESSURE: S STEM-IN-FILL OLDING TANK: RECOMMENDED SYSTEM:loptional) <br /> If Percolation Tests are NOT required DESIGN RATEISYSTE If any portion of the lot is in the <br /> under s.H63.09(5)(b),indicate: Floodplain,indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL P H T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPf{H�I N. ELEVATION OBSERVED E T TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) <br /> 3, r �T C 0�t r s' r •Sf�mac. <br /> B — <br /> BJ V % 9 6 <br /> 13-3� (� 0PAA , d wfi <br /> B- <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERINCH <br /> P. N 3 <br /> P- <br /> P- L <br /> P <br /> P- <br /> P- <br /> PLAN VIEW: 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 slop. <br />