Laserfiche WebLink
cPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS <br /> DUSTRY, DIVISION <br /> ABOR <br /> JMAN REDLATIONS PERCOLATION TESTS (115) MADISON,WI 53707 <br /> (ILHR 83.09(1) & Chapter 145) <br /> • CATION: SECTION: 1TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: <br /> ✓E% 5t4/1/4 3 0 /Ts N/R 'c E ,evTL-v.✓O — — 63.89 Ac. f97ec�- <br /> DUNTY: 0."4./ec; MAILING ADDRESS: <br /> .C.)/9n/-- /' Cr2Eti,c /R Tr,S_ � <br /> 0/10 /j <br /> - _ VC 5''n/� w/,S73-7 Z/ <br /> DATES OBSERVATIONS MADE <br /> �-y NO.BEDRMS.:-COMMERCIAL DESCRIPTION:' PROFILE DESCRIPTIONS: PERCOLATION TESTS: <br /> "•Residence ew ❑Replace <br /> 3 - Z/- 9v _ - Z3 - 90 <br /> ATING: S=Site suitable for system U=Site unsuitable for system <br /> 7NVENTIONAL: MOUND: -IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) <br /> kIS . 'U . RS [ U S _u f]SEU nSRU <br /> • Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the //� <br /> o 2....z,er s. ILHR 83.09(5)(b),indicat2....z, Floodplain, indicate Floodplain elevation: r(/ <br /> PROFILE DESCRIPTIONS <br /> ,RING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH <br /> UMBER DEPTH IN, OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED ISEE ABBRV.ON BACK.) <br /> !3L / .an -re-/ z3.►S/i-' <br /> - / go /op. , /./o,✓&.._ d'V - Co &-L3 a 3 - a'v <br /> 3- Z- Ito 99- Y T No v - S 8. 3o <br /> . 3°' 7l� <br /> 3 2E /c'o. 8 S'8 a- 7 7- `C , Z-‘- c?e <br /> 3- y ,r.„ <br /> 98 >.G6 0 - 7 7- 2_5l ZV- L.C.. <br /> 3- -5 7S 99.7 1 u 1 7s o - 8 6,- 3s 3s- > S <br /> 3- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> .UMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 - PERIOD 3 PER INCH <br /> i. 2- Y° .✓17.--/C 3 o Z 'X L Z 4. a- <br /> S --3 1? �! 3J L3 . / `!o // '/[i / 9 <br /> ` • _34.> / ' i, - / '/I � ! L/(u i2— <br /> OT 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 /> tal 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 /> and slope. <br /> YSTEM ELEVATION 9d.,• s' <br /> w__ ____ _ _ Ro/4 ID <br /> W <br /> '-- \- <br /> " TN <br /> .. . 77.7.$7 --s.TE_ <br /> . . . S c .°•74- Z_ <br /> rei,,c.. .off TA'? LS .__ _ <br /> 9Y7. Y7' <br /> ■ <br /> v) <br /> tie 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 /> •nmistrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. <br /> .ME (print): <br /> N <br /> �, /4-1 ESTS WERE COMPLETED ON: <br /> Fci o 0 3- L3 . 90 <br /> DRESS: CERTIFICATION NUMBER: 'PHONE NUMBER(optional): <br /> 3G 07 CC , - Sr' ,-;-/-(7 /501•1, 61-I/ S 3 7(/ Zz (o 2_33- D04..6, <br /> CST SIGNATURE: <br /> /Z.,_e4"... /04-,./i <br /> STRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. <br />