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, DEPART MENTOF REPORT�ON SOIL BORINGS AND SAFETY&BUILDING <br /> : <br /> INDUSTRY, DIVISIO1 <br /> LABOR AND PERCOLATION TESTS 115` P.O.BOX 795' <br /> HUMAN RELATIONS PERCOLATION,1 �� � / MADISON,WI 6370 <br /> hl.l•I�0.09(1)&Chapter 145) <br /> LOCATION SECTION: TOW SHIP/MNFt : 7 O.: N0.: SU IV ON <br /> 1� .:21/ 9 /T* NSR/ ( " .S'ce T <br /> COUNTY: . AME: DRESS::_ r. <br /> 124 IMAILING AD 7S <br /> USE DATES <br /> DATES OBSERVATIONSMADE <br /> A esidenceX.4ti; . Taw ❑Re Ie �p t/'y pre <br /> , <br /> RATING:S-She suitable for system Us;Site urlssikebfs'i,1 444m,' ^ <br /> 0 MO D: -y}��. -F L DING NK:RECOMMENDED SYSTE :(optional) <br /> L'JJ ❑U ❑S ❑S LJY ` ElS a EIS Cm/Vo4*NTioNA <br /> If Percolation Tests aro NOT required DESIGN RATE- 1, - If any portion of the tested area is in the <br /> under L ILHR 83.09(5)(b),indicate: , Fleodplain,Indicate Floodplaln elevation: <br /> PROFILEDESCRIPTIONS <br /> BORING TOTAL DEPTH ND S R,TEXTURE,AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED TO BEDROCK IF OBSERVED SEE ABBRV.,ON! ACK.) <br /> • B- I" ares.{Id- t, ! Et a .F . <br /> /vo. / /► o .F �s (06 p s aw s .. . me <br /> re <br /> K Y <br /> B-3 71 /p/. / 7., 7,? b le 131 yd NKa us 94115 <br /> � <br /> B. Y G 6 900. 1 G G ON s uMK A/ lej^j jC. tv3= As54 <br /> B 77 99, o 77 ,yuAvk r- ipn" <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 1 RIER14 PER INCH <br /> P. / v o 3 7 3 <br /> P- <br /> O 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 dist noes. Describe what are the hor <br /> zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borl rigs and the direction and percen <br /> of land slope. <br /> SYSTEM ELEVATION <br /> --T <br /> Arco VL WAY � <br /> .d6,wn°A<a� � l atop l � _.. <br /> i 1 1 <br /> '( /'73 <br /> Aspen ,�i GoK /hS�CC'n/Z;a 44A,41. _ <br /> I,the undersigned,hereby certify that the soil t*ts reported on this form were made by me in actor ethods 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 COMPLETE 3 ON: <br /> - <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> CST GNAT RE: <br /> DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395(R. 10/83) —OVER — <br />