Laserfiche WebLink
DEPARTMENT OF REPORT ON SOIL BORINGS. AND SAFETY & BUILDINGS <br /> DIVISION <br /> INDUSTRY, P.O. BOX 7969 <br /> LABOR AND PERCOLATION TESTS (115) MADISON,WI 53707 <br /> HUMAN RFI_A`lC"-!S <br /> (ILHR 83.090) & Chapter 745) <br /> LOCATION: SECTION: TO LOT NO.:13LK.NO.: SUBDI VISI N NAME: <br /> S�1yN SECTION OAKLAND 13 NA PARDo W(Z� PIl �s <br /> COGNTY: OWNER'S BUYER'S NAME: MAILING AUDRESS: <br /> O n t 1 C L <br /> DATES OBSE RVATIONSM DE <br /> USE --- PROFILE DES I NS: PERCOLATION TESTS: <br /> �IINO.BEDRMS.: COMM ERCIAL DESCRIPTION: <br />[19Resldence I 3 �i New ❑Replace la _ IS— d "� 10 -IS 87 <br /> RATING:S=Site suitable for system U=Site unsuitable for system I O <br /> ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM:(op onal) <br /> ®S ❑U ®S ❑U ®S ❑U ❑S ®U ❑S ®U 0,0NV <br /> If Percolation Tests are NOT required DESIGN RATE If any portion of the tested area is in the <br /> tmdrr s. ILHR 83.091511h1,indicate: _�� Floodplain, indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BOR NG TOTAL D PTH TO GROUNDWATER INCHES CHARACTER 01: SOIL WITH THICKNESS, COLOR,TEXTURE, AND DEPTH <br /> NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBR V.ON BACK.) <br /> Ie i 72 q6, /Vo/U, > 72 4'68/rlcds y28Nfs X72 AIM-Wj <br /> -- --- — - — <br /> 7Z 9% � It 11 r) •58/n���s 5- ya9Nfs ya -7z NM«ls <br /> It 0 58/lya5 5-qSBN4s yS-72 r/�er <br /> — <br /> =-- <br /> B- y 7� /oo.3 ° — sRM� As 3-/ <br /> B $ "]Z 9% p- yB/�ri•Js 5� 3 SNfs 37- 7Z&meds <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER _INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1——PERIOD2 PERM03 PERPERINCH <br /> iis NO <br /> P- 2 z05 -- •--L�- 3 <br /> P 3- 2-- <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 tt��te plot plan. Show the surface elevation at all borings and the direction and percent <br /> of land slope. /t* a 3L'A1E /"- y0 EkC6,0f Wil rE All <br /> SYSTEM ELEVATION 97 `f SRs i zM/o0 NAic iN8Asc0)f/Z 'R£D 444 <br /> O £ 3 <br /> o• <br />,'ELLOW I 4 <br /> ori � z� <br /> IjC�UER a3 <br /> Dw�uN� �- <br /> 2 s TN <br /> 13 If <br /> � q�ivE <br /> LCT ��r✓ (O�$ <br /> 1,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and met ods 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 /> NApry i 1' TESTS WERE COMPLETED N: <br /> /U-/,r-00 <br /> AD RESS: CERTI KATION NUMBER: PHONE NUMBERIaptional): <br /> e ti sTr— LUZ s , �y�9� `�� <br /> CS ATURE <br /> DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil T. <br /> DILHR-SBD-6395 (R, 10/63) — OVER -- <br />