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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS
<br /> INDUSTRY; IVISION
<br /> 7969
<br /> LABOR AND. P.O.PdBOX
<br /> HUMAN RELATIONS PERCOLATION TESTS (115) MADISON,WI 533707707
<br /> (ILHR 83.0911)&Chapter 145)
<br /> LOCATION: SECTION: TOWNSHIP/MHPHF,'lP*eFT LOT NO.:ELK.NO.:SUBDIVISION NAME:
<br /> JP)/4/(/ 1/4 a7 /T //N/R/(�E I4 ,5ixii: T i,I/r i _ 7 — eyn i/o/9,/,17-, 376)-37/COUNTY: L MAI LING ADORE S.
<br /> /500 le77` / 7%/C1 . A. ,'Var,E-, 7 . -c/i° ce/(2 /. /2')//7neapoZiLs./77i--55//40
<br /> USE DATES OBSERVATIONS MADE
<br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: • P FILE DESCRIPTIONS: PE COLATION TESTS:
<br /> Residence ❑New %Replace /j,/,� i9'9 ��/ /i�'
<br /> RATING;S=Site suitable for system U=Site unsuitable for system ''�^`"''�� N'
<br /> COhfyf`NTIO�Nif. MpiS.EU IN GI X)S EU E:SETf�M•INu _ Es
<br /> SOLDI Gou .Rcc/we/276,a/v i c,a�SYSTEM.loptional)
<br /> If Percolation Tests are NOT required DESIGN RATE: JrJr Nu
<br /> If any portion of the testedVarea is in the
<br /> under s.ILHR 83.09151(b),indicate: Floodplain,indicate Floodplain elevation:
<br /> PROFILE DESCRIPTIONS
<br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH
<br /> NUMBER DEPTH IN,ELEVATION OBSERVED " EST-FTGREST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.)
<br /> I �7, ��O�e 7�
<br /> o-5-',O1
<br /> ',O1 zi/5:5"-.3�!",ef�:351'-.,3",emed•5:5�"•7-1"
<br /> 13- 0-440.6E>&07/5:v" .31",e/5;32'-,57 e n i5;5.7" '
<br /> B-,.? " 9913 aloe > 'A)" A cis
<br /> 13-3 Z" 97./ /t/Or? > 2,, saw 0,5 4/
<br /> B-
<br /> B-
<br /> B-
<br /> PERCOLATION TESTS
<br /> • TEST DEPTH WATER IN HOLE TEST TIME DROP IN-WATER LEVEL-INCHES RATE MINUTES
<br /> r NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERI D2 PERTO 3 PER INCH
<br /> P- / /7 . Acla . 3 ?72 3 /5
<br /> P.
<br /> a 80" x/rx)c 3 //x,, / / .z .e2
<br /> P-�5 /6" /t/nre 3 ,, // i� I?/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 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 Q5.Y 5^ahf, /"-4/O e ',0f where rxOfe/.
<br /> ten_, •
<br /> . -- - ... .-. •
<br /> ,
<br /> ' • _T.. 1 .._. . ... _ ..
<br /> iQ
<br /> •
<br /> a- - P3 ` Z5/`2.74�.O., lrrt?rL.thL 1!R .(X2•5 -
<br /> �` $ 0 �` -��
<br /> _._ ---- • . , - •6®3 - Q .
<br /> Ill --._ Of./O" //05_71 -:F--r -
<br /> 1
<br /> - .611 - o kit- •
<br /> ;
<br /> --Y ' ;.._ _ l ac
<br /> I,the undersigned,hereby certify
<br /> 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 date recorded and the location of the tests are correct to the best of my knowledge and belief.
<br /> NAME(print): !TESTS WERE COMPLETED ON:
<br /> 14/2o( ,)./fa0/rr1 -- ] _ /3/Q$
<br /> •- b'c • ai/ , e..5./ X.. "ea/03 kkA5 Pr iii 66112'23? 3
<br /> 3A
<br /> CE 12,___ ,N NUMBER: P7/96o- X*ionall:
<br /> CST SIG/:12,E:p �
<br /> DISTRIBUTION:Original and one copy to Local Authority.Property Owner and Soil Tester. L7./�
<br /> DILHRSBD-6395 IR.10/83) 1 -OVER- _,,+
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