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<br /> ,[3EPAF(f?slENT OF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS
<br /> INDUSTRY, ��' DIVISION
<br /> LABOR'AN,,QQ PERCOLATION TESTS (115) P.O.MADISON WI53707
<br /> H �1MAM RMATIONS
<br /> (ILHR 83.0911)&Chapter 146) .
<br /> LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.:SUBDIVISION NAME:
<br /> F
<br /> u 1/04.) 3 /T9 N/Rra E( r..�tuq — —
<br /> COUNTY: OWNER'S/BUYER'S NAME: 'MAILING ADDRESS:
<br /> tc u>_ Lek Ut_QUA •tJ(\4 kV-oQU a4oF Kwt�F_R-To.-- tZUL)PR0..tL.c= I,,,t ts 3590
<br /> USE DATES OBSERVATIONS MADE
<br /> NO.BEAMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS:
<br /> ElResidence i:2 to ❑New Replace ��$.1_tf=L-t`� 9- t-"-
<br /> RATING:S-Site suitable four system U-Site unsuitable for system
<br /> CO©ENTIOaNAI_. MOUND:©� O� IN-GROUND-PRESSURE:O� SYSTEM-IN RECOMMENDED SYSTEM:loptional)
<br /> If Percolation Tests are NOT required DESIGN RATE: A N
<br /> If any portion of the tested area is in the '^
<br /> under s.ILHR 83.09(5)1b1,indicate; Floodplain,indicate Floodplain elevation: 4
<br /> PROFILE DESCRIPTIONS
<br /> BORING TOTAL -DEPTH TO GROUFDWATER-INCHE ,,CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH
<br /> NUMBER DEPTH IN,ELEVATION OBSERVED ' EST.HIGHEST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.)
<br /> m-(2'. /aYQ�31..Dta.blts/A-i 12--39"r6'KY., 341.-6k
<br /> B- ( 'z}O $",lo t.)O 7 X70 . tc.L,a4 -r to'R,S4RY,ee. ,'tc-*ViayI'/4 i mkt.-ss--
<br /> o..13'1, Y)2�»r�tLs.4., ' -..ae"ze'.'R% anebscze,o-z
<br /> B- 2 e19‘ %9,t6 ? q f
<br /> �i -a:e.9.e;-`me YPsoL.."., 34-'l9"io512
<br /> iatP.c,y`
<br /> r S-A"lO' 4'a 1Cc.b11.ar1./ 4,a a!' .-.".-b K.J a-C, ).z-ros,i
<br /> B-J it,-- 9I.Q6 UO > IOi ioY2b/'� ,cp 4 ).»,A1-,•c-$res..�«.e-5 R. ` %.e..�
<br /> I/ Ti o-t-r-.•1m-'i12 us1Ge..b M r.-, I'.. ..+:.g.•at /W Srclea*'3,a -
<br /> B-4 qLl l .$5- 0 >, j'~( 1.3-V th'' 7,3'7rLk ask,44 -Et).'AS920'aSt--
<br /> B- I
<br /> B-
<br /> PERCOLATION TESTS
<br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES '
<br /> NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD I PERIOD 2 PERIOD 3 PER INCH
<br /> p_ I a 4 go.3¢ Op 3 ' a'c. 1%. ley h
<br /> p- 'L 4 '5 go,4'o Po .gym 1 • .2,-1/4's ice— / F
<br /> P. 3 rs Yt 90.90 wo ,, l�� /'1v- /iy.- I
<br /> P-
<br /> P-
<br /> P- -
<br /> PLOT PLAN: Show locations of percolation tests,soil borings and the dimensions of suitable soil areas.Indicate scale or distances.Describe what are the hori-
<br /> zontal and vertical elevation reference points and show their location on the plot plan.Show the surface elevation at all borings and the direction and percent
<br /> of land slope.
<br /> SYSTEM ELEVATION q 6'"(.O °,-) ■ ` F s t^YC° c-"4:K"-'"--)
<br /> I r _ I-7 r 7
<br /> l I --a ! r ! - l --. {. - /43 R.1 _4 -1----. - _i!__.1
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<br /> Yv�� t.rr .1- !1 '.
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<br /> •._._-i --'�- - __-"__- 1 _.-._...-.__, -4,' --.r- -_--1----._---- --...r !__- 7--T__i- j_- --i !----i
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<br /> 1__1. i. 1__1 _1__..i . ! _1 I 1 ___�i. ! �_
<br /> 1,the undersigned,hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
<br /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
<br /> NAME(print): . WERE COMPLETED ON:
<br /> QQ.Cni1.dj 11 4a4 1.9 D SV- gf""7t_(-$
<br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional):
<br /> )31-1...0 C.:-1->cl. O ■.,..)P1-1•v.4.Liso)t.■ 6951 QS`-r 4i s`1 504 1 —Well
<br /> CST SIGNATU E: 4 _ /J
<br /> DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester.
<br /> DILHRSBD8395(R.10/83) -OVER-
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