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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> INDUSTRY, DIVISION <br /> LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 <br /> HUMAN RELATIONS MADISON,WI 53707 <br /> (1463.0911)& Chapter 145.045) <br /> LOCATION: SECTION: TOWNSHIP/Mtl11181r�CFT V: LOT NO.:BLK.NO.: SUBDI ISION NAME: <br /> 5W '4 16 it N/R/6 E (, EENDN /Pit AIA Cc At L fl E <br /> COUNTY: OWNER'S BNifER69-M4ME: MAILING ADDRESS: <br /> , vRNF 7_ I WAL L"ALL 579 wEsT s ra sT, NEW LP/cWis,syoi <br /> USE DATES OBSERVATION MADE <br /> NO.BEDRMS.: COMME RCIAL DESCRIPTION: PROFILED RIPTIO S: TS <br /> LATI NTES : <br /> Residence Z Nf7 New ❑Replace <br /> RATING:S=Site suitable for system U=Site unsuitable for system a <br /> Om STI❑11. M IJ. �. ❑� IN GRQIIS ❑URE: S®S 1❑QL ❑S XII RECOMMENDEDNI/: o optional) <br /> If Percolation Tests; required DD ESIGN RATE: If any portion of the tested area is in the <br /> under s.H63.09(5)(bl,indicate: 4111 Floodplain, indicate Floodplain elevation: A4� <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL -DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COL R, TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN. ELEVATIONOBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON B CK.) <br /> B' ! �Sa'I 9�'l!/" NONtC > $0'1 <br /> 1/'` 3L /17E5 -10"94 <br /> "e F-D S 76 _ <br /> B- 3 7.2„ 96-/p/, > 70 ' Y"fL ME s 61" 1311 mF <br /> B- d5" 9640" 7/ 6S ,I v'`� .nE 8/" L3�r meo s <br /> B- S a" 941 <br /> B 6�/l 95 /O'' �l �6c7 " H"6L .,?E 5 SSt14 MEp 5 <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PE IOD1 PERI D2 PERPERIO PERINCH <br /> P- 1 vz orv� 5 a 2 3 <br /> P- 2 <br /> P. <br /> P <br /> P- 5i9 ai z Z <br /> P _ / z , <br /> PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or dista ices. Describe what are the hori- <br /> zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all bori gs and the direction and percent <br /> of land slope, :!#STEM EL. 9.$ 'Al <br /> SYSTEM ELEVATION �//D " RE4uLR6P /or 11#'15 <br /> ` 4b - <br /> IdEN�N .N6P UKP <br /> 4-4.4 of l A/C Ape_ <br /> x"Ir!;6, 89Fa�/o <br /> B1/y='6TN <br /> v 4ufnA0LE AREAS I __dam• ,Z ; fir Pv. <br /> 2 L3EORu�M NQPlE, 90Aq <br /> RPaL <br /> qw, olL�E I�EKL9CEP7EtL7 kEA <br /> SCALE} "';6' } <br /> >P.I S. s M L.)3 H M49? <br /> AfioTOLliv RO. <br /> I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and m thods 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 ON: <br /> Cfj�UiAJ 6ENsoy 8 20 <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> RT- Z Whr-LYsTF i 55'903 - <br /> CSTSISI A <br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395 (R.02/82) —OVER — <br />