Laserfiche WebLink
DEpARTMff REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABHUMAN DLATIONS PERCOLATION TESTS (115) MADISON WI 53707 <br /> RE <br /> (ILHR 83.0911) & Chapter 145) .5T _ �(J <br /> LOCATION: SECTION: TOWNSHIP,"MAKI bCIE,CLLTy: LOT NO.:BLK.NO: SUBDIVISION NAME: <br /> i 114.5E I/. 19 /1'7�ON/R/ I SCS P F Gc <br /> COUNTY: OWNER'S E: Al LING ADDRESS: / _^J77_Q6j+� <br /> G! l, L a C�jSOL� A5' <br /> USE DATES BSERVATIONS MADE <br /> NO.BEDRMS: COMMERCIALDESCRIPTION: PPOFILE }ESC, TIONS: PER OL IO TESTS- <br /> Residence f�1/1 New ❑Replace r3P <br /> RATING:S=Site suitable for system U=Site unsuitable for system <br /> ONVENTIONAL: MOUND: IN_ -GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM aoptional) <br /> US ❑U ®S ❑U NS Mu"TIS 199 ❑S Z11 (404W. BED /a 'x3s ' <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 DEPTH TO GR UN DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH <br /> NUMBER DEEPfTHHyIN. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- /G� / / / S .i S, rr A <br /> �s <br /> KB -07.3 9S Ahl*� / spas ' S -2" e r e^JJ/ SWW B S 3'' wPERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIO 1 P R 2 PERIOD PER JNCH <br /> P- 3 E -s— jd <br /> P- a s <br /> P- 1 <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 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 9a. 7_1- <br /> -:cAl-E / RL4ck /0' Bal- N41L iN 'Wllm ?/we 7xEr E4 -/ev, <br /> A -5o/C 180,1 A ACCC AEVZ &ELL To 143E >SQ' AAM PM1AIF/BLQ <br /> L/Fr PIMP l <br /> anr N <br /> P4qF IbeLOY <br /> .6e ' <br /> I,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 /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief, <br /> NAME (print): TESTS WERE O PLETED ON: <br /> -57RARZ_Z_ -5- / e' <br /> ADDRESS: CERTIFI ATI N NUMBER: PHONE N UMBER(optional): <br /> El3SI'E i,J S"��93 Csr _ 33e.n- -3 -P p <br /> CST SIG URE: <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395(R. 10/83) —OVER — <br />