Laserfiche WebLink
,•74) <br /> WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES <br /> c , DIVISION OF HEALTH,BUREAU OF ENVIRONMENTAL HEALTH <br /> , • P.O.BOX 309 <br /> MADISON,WISCONSIN 53701 <br /> REPORT ON SOIL BORINGS AND PERCOLATION TESTSr <br /> L'OtATION: • '4,--4,Section_,T—N,R_E(or)W,Township or Municipality <br /> Lot No. ,Block No. , County - . <br /> Subdivision Name <br /> Owner's Name: <br /> Mailing Address: - �,: ✓� !r F <br /> TYPE OF OCCUPANCY: Residence • No.of Bedrooms. 2 Other <br /> EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT <br /> DATES OBSERVATIONS MADE: SOIL BORINGS S":> ' 1 i--. PERCOLATION TESTS = e.y'' T <br /> SOIL MAP SHEET ' SOIL TYPE �� .' V I <br /> PERCOLATION TESTS <br /> TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL,INCHES RATE <br /> CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL <br /> NUM- INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN <br /> BER <br /> ., <br /> ■ <br /> y <br /> SOIL BORING TESTS <br /> TEST TOTAL DEPTH DEPTH TO GROUNDWATER,INCHES CHARACTER OF SOIL WITH THICKNESS,INCHES <br /> NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) <br /> �•! f' j� <br /> B- -'' �` d.)`'C'' I q� <br /> B- I l !- :-/ 8, 7.r i, 4'r,. %� , <br /> P L•i 'a (Locate percolationtests,(oIIbore holes-arid smtabtei0dlatilit4_ Y r <br /> I ■$ •an the,Jocat+otn-an' v'-',' dd1al6 81111 ercof ' <br /> a 3 n' rk .s <br /> ", Ft 4.LL q r L n'I' �! 'd. t i;q�-$�-i.....W 4 +; L !A....Z 7 SCit,44' <br /> t • 3l "¢j��,,�j.^.{rtej luy, a x.ou 3 z` i4.0 ' ,. <br /> k - Jp� R v .,� ��SYC:,k.�!•�1� yS F ��'^�*�i� � .�l7 u_.. <br /> $.- pg:�gq{y y1.iq 171 <br /> ' `4P.A .�tj,�:• y7�( 'A A 't ,SAP <br /> } ; 314F5� k"f . ray�!�,`�_'zr_y�� � ;� k <br /> ;r, ... ' ' � 4� t <br /> .# t;f A ' _ <br /> 1 <br /> I <br /> i <br /> • <br /> 1 <br />