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V?-, .: e 1REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS DIVISION ..wyR PERCOLATION TESTS (115) MADISON WI 537 LOCATION: • SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.[LK NO.:tSUBDIVISION NAME: /4 W1/4"44 /0 /T 8 N/Rio E lor, gu , 67s I SU,►.`;NUNAS T COUNTY: OWNER'S/BUYER'S NAME: AILING ADDRESS: DANE i p-& S T i l t• S . I31go PARK KNoL.I, DR.. 14 AOt S01.3 s3-1 04 USE d, DATES OBSERVATIONS MADE r NO.BORNE.: COMMERCIAL DESCRIPTION: ,. PROFILE DESCRIPTIONS: PERCOLATION TESTS: idence S 4 ❑New LJJReplace 12,-Z% -gla RATING:S..Site suitable for system U.•Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PREM./RE:SYSTEM-IN-FIL OLDING TANK:RECOMMENDED SYST M:(optional) Jx ❑S Qty [2S DU OS 2t1 [1S2UIOSEU t--o,)—..3c, (s`—c NoTE) If Percolation Tests are NOT required DESIGN RATE:SYSTEM ELEV. If any portion of the lot is in the under s.H63.09(51Ib),indicate: Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH 7Qq GG9OUh DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH Nl1NBER DEPTH,IN.ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) CI-,r' V Dk. �n�I .el, 4-/4 " DA Ste(' B-� 6s II /�ONC X8,1 t4 30" �N s; � 3c-38" Sne.rS►t $r�j 3&-64" �R. 4,, tnvy S.Q w/ mod 4,-Pis AIer: B- I ,4'4A c /2o,e/A)G) (u FCP , B- B- A CermF11Z,-u,j6, 81KICFEec PIT cltll•l. /lam RE -t112Eb — 41-So 671-Ft-L B- 614Q1106S Sr',eu_LA , LbR.I E 4 LouMU 714E 4oT 7a 25em d/N6 ' fryotf 5u•ry G3 So(45 HtQKr o X0-4AJA' R44- tZ-z&-S-r B PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROF IN WATER LEVEL-II/'HES RATER IIN U ES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. D1 PERIO P- , - P- P- P- P- P. PLAN VIEW: Show locations of percolation tests,soil borings end the dimensions of suitable soil areas.Indicate scale or distances.Describe what are the hori- 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 of land slop. • SYSTEM ELEVATION -� T I'-T_ r ( , T , Jf 'H t _ ' IN NI I 1 1 I --I 1 •I 1 1 1 T I' I I I 1 ' 1— i — i I�� I ,.1I i —F: - r -l-1 1 ---1---I'—.—'- 1&► - _ -t- ---*--- - '- i I—'�--r — r .. .— 1 —-I' -1----�- I t, t-r -r—I __I I1 � R i i i 11S I i 0 I 1 � _l ` i r t1 1 1 T r �' I . 11 I .-I- ' ! _ -_ c r ; a. I _ � -.- r!l.r�'.�1.D__' rc 4� an8..:fir_ - �_4 L I I .1 , i_._.� ' 1 —i i I 1 1 f 11 1 1 i i _I I 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 — Admimistrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(print): A TESTS WERE COMPLETED ON: R1C,NAr.b t\. • .ApcE. /2_- 21 6f ADORE : CERTIFICATION NUMBER: PHONE NUMBER(optional): 1013 G12oVe12 ST. MA-01So1V 537o4 CST- 32-2-rc DISTRIBUTION:Original-Local Authority,2nd page-Bureau of Plumbing,3rd page-Property Owner,4th page-Soil Tester. DILHRSBD-6395(N.03/81)