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<br /> DEPA T OF T-?'ART ON SOIL BORINGS AND SAFETY & BUILDINGS
<br /> INDU TRY, � ' DIVISION
<br /> LABOR AND RCJLATION TESTS (115) P.O.MADISON,WI 53707
<br /> HUMAN RELATIONS
<br /> (H63.09(1) & Chapter 145.045)
<br /> LOCATION: SECTION: TOWNSHIP/Mtl-NICIPA-fF-TY: LOT NO.:BLK.NO.: SUBDIVISION NAME:
<br /> Nw 1/4 1/a /i :_, ;4/R17 E � 7--,, r- 1 i A t---=-7P c_, L A
<br /> COUNTY: `OWNER'S!AUYER;o NAME: MAILING ADDRESS:
<br /> 7.-2A,._.., - . _ - _ = _ i-- 1, z L r `r-j c L L E J ;1- ) )AA Al2 S‘414\-ki L 4-✓l S S-.S
<br /> USE DATES OBSERVATIONS MADE
<br /> NO.BEDRMS.:'COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS:
<br /> P.Residence LDNew Ii Replace i /(5/2 c 11/7/?) 6 —4, 7 -?Y
<br /> RATING:S=Site suitable for system U=Site unsuitable for system
<br /> CON ENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:loptional)
<br /> S .0 ES �u , s .0 u S nu I S r u� G0,�u ,-,n o...,-/,i
<br /> If Percolation Tests are NOT required DESIGN RATE:
<br /> If any portion of the tested area is in the /
<br /> under s.H63.0915)(b),indicate: rJ .f}! Fdoodplain, indicate Floodplain elevation: �/ A
<br /> PROFILE DESCRIPTIONS ALL ��L_ (oca25 4/ c t'
<br /> fl
<br /> BORING! TOTAL i DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH 1
<br /> NUMBER DEPTH iN. ELEVATION OBSERVED 1 EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
<br /> B- U / .`7 /v D^i E 3 6 l I l 2,05,./z y �-L 5� y 2s D (r -5 G -yc>
<br /> B- y Z /D Z-Z' I I mo' 1 Z 70a C Sc �zSL- � �� -3�
<br /> i
<br /> B- �� Z 70 3' 33 1-,C 33S-,2 d'.)- _('• 3 —;z
<br /> �
<br /> B- '27 3v )3.� l�' �7 S� .� c, o - -,7
<br /> J zy
<br /> B- // s,7-7 /oo-/ ' -5 27-o /3Z 7 ›- i �`l/ 3��`— z7.,/
<br /> ELEVATION 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 1 PERIOD 2 PERIOD 3 PER INCH
<br /> P_ / 2-g ,'o / O 3° 0- VA /��8 )1r, /b
<br /> P- 2 2i7 /00,6'' O 3o 3 '/4 3'/8 31/, /0
<br /> P- ___ 2 ? soo-&f 0 30 -1,--')/L( 3 /1e 357Y Y
<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 lend slope. E Li 1J5, '' C.- 1
<br /> SYSTEM ELEVATION 7 - 3 " (REPLACEMT. I 1 "= coo'
<br /> Y�3v2�NF-S
<br /> r- L I C - A o_,��2L5
<br /> — -z-71-0,_.1-c , n = MoWNIETb2
<br /> S
<br /> ti 1 \ �� .iG LINE -Es fld.J
<br /> O :'
<br /> W£l.L 13- l )or.
<br /> /
<br /> a � 3 a I .
<br /> st
<br /> rR6 s • II
<br /> II
<br /> O
<br /> --Sa v 1-0611- -G-
<br /> 3-e /h 2 `�l
<br /> .}37..„. D r 2-
<br /> /Z55,------ ---._. .--- ----------- 75' cs<7..� D)�+E' 2 V.' r.+Gr i7o",■
<br /> r.
<br /> 1 a a2c n)
<br /> I
<br /> lb'y a c'o N
<br /> 5,o°w
<br /> ,�7 3 - i p b--- C_I,v f..
<br /> S 1. C r—�. J)�-9i�-- a
<br /> I I, 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 /> J I'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): TESTS WERE COMPLETED ON:
<br /> JEFFREY L. HAMMES . - 7 — xL/
<br /> ADDRESS: 'CERTIFICATION NUMBER: PHONE NUMBER(optional)
<br /> 3521 MARGARET ST. , MADISON , WI. 53714 2238 16081222-8650"
<br /> This s,il test report is the firet etm in saasinq a sanitary permit. the=arty or CST SIGNATURE,
<br /> the Department nay request verification of this soil test in the field prior to permit ,,,,_4__/ .
<br /> qp 2�OMER isy. A=replete set of plane for the private s`ege syetee and a permit application ---V. 1x11—--'4 `—---- --
<br /> Must to siteutted Sc the appropriate local authority in or to obtain a permit. The
<br /> sanitary permit rust be obtained and posted prior to the start of any oanstriction.
<br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. -
<br /> DILHR-SBD-6395 IR.02:821 –OVER –
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