Laserfiche WebLink
1 <br /> DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS <br /> INQUST5Y; DIVISION <br /> 'LABOR AND I /• PERCOLATION TESTS (115 P.O.BOX 7969 <br /> HUMAN R2LA iOONS \ MADISON,WI 53707 <br /> LOCATION: SECTION: TOWNSHIP/MbRHOWALlTY: OT NO. LK NO-:SUBDIVISION NAME: <br /> Nw '/H/ /0 /T B N/R/DE W & eKE IL 6.S I SuNBv/ps7— <br /> COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: <br /> -DANE JAMES BAKE/2 3740 134ieK /ovoG6 .DR///Ei /A1A0/.SON, 5370 <br /> USE DATES OBSERVATIONS MADE <br /> np, NO.BEDRMS.: COMMERCIAL DESCRIPTION: frn PROFILE DESCRIPTIONS: PERCOLATION TESTS: <br /> [7,4 Residence ,J ❑New W+Rsplace <br /> 7 N A• MAY /7. /4BZ A/o vE. <br /> � BAS&' on/ s/NGtE .&l id1oe P/T' <br /> RATING:S-Site suitable for system U-Site unsuitable for system <br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE:SYSTEM-N-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> ©s ❑u as au CAS DU ❑s ®u dos Yu eo,vV. ote =N - ..0 <br /> If Percolation Tests are NOT required DESIGN RATE:SYSTEM ELEV. If any portion of the lot is in the <br /> under s.H63.09(5)(b),indicate: Al.A. A/•A- Floodplain,indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL IN ELEVATION DEPTH TOf�GGROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH <br /> MIMBER DEPTH , OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) <br /> B- l 7 ' 9.5,Z NONE " -87 60 lit _A :P..e•_., /Z. en . e-d 2 .6n <br /> B- .a,,c, 6' .et'; R.-, 4 44.1.lt- .1,0D <br /> B- <br /> (.4> cr;Fcl 0 ,o Z`. .Co s. .l? t:.re,-•, <br /> B- P.P o.--14- <br /> .- 4/3 6-0" r <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME ' DROF IN WATER LEVEL-INCHES INUTES <br /> NUMBER INCHES AFTER SWELLING INTERVAL-MIN. - RIOO I PER •• �{ <br /> P •• Ij/gy o <br /> P. ycoy 49 <br /> P. b'FL j4nil,. <br /> 8? <br /> P o <br /> ph PLAN VIEW: 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 slop. <br /> SYSTEM ELEVATION EX/ST/N6 IS APRox• OLEV• 9/. O <br /> i i r--1 '17 7 I 1 T 1 1 1 <br /> + L ! -�- 1 1 , i i - i. l _i_ 1 ' 1 ' I <br /> t i__r ..._ L.i i 4-_.I . <br /> I I i i i I 1 1 I I I ,. "- 1 , <br /> � , 1 I I i I it ell <br /> 1----1----1— ---( L_ } -_I-1-4--- ,_- 1 <br /> Y <br /> 1 i I I l 1 ,pH, I i• I <br /> i --j �"'i-/y'S.Z-.0..°./_�Q�E��_. 1Q4. _.�`E. �.._._-.._4- /v6. .�-- I__._— �_i_-l�LL7:�TQJ I <br /> i Tr- 1 I - i j i ■i- I 1 , <br /> 1 <br /> 1 - I 1 1 I !M i I i■ <br /> I 1 1 Elly ,i I 1 I• <br /> I_L L I _1-1 _i,_:_1 --L-1_J._i._ PARK_I timoki-ill_ i4_ - -_l_i JLi <br /> I,the undersigned,hereby certify that the soil tests reported on this form were made by me In accord with the procedures methods specified In the Wisconsin <br /> Admimistrative 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 COMPLETED ON: <br /> SALE E. 7.I/Q/IE.Z MAY 00, /98z- <br /> . <br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): <br /> 66 o1/ G,fefrivv 7 7 'V, /14o/SoN,a//_ 537/7 Z 833 -7373 <br /> CST SI NATURE: <br /> DISTRIBUTION:Original-Local Authority,2nd page-Bureau of Plumbing,3rd page-Property Owner,4th page-Soil Tester. <br /> DI LHRSB D-6395(N.,03/81) <br />