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DEPARTMENT OF REPORT ON SOIL BORINGS..AND SAFETY$i BUI LOIN
<br /> INDUSTRY, ` - DIVISI,
<br /> LABOR AND PERCOLATION TESTS (115) P.O.MAD, BOX 7
<br /> HUMAN RELATIONS
<br /> (H63.09(1) & Chapter 145.045)
<br /> LOCATION: SECTION: TOWNS HIP/MHeSfefPALITY LOT NO.:BLK.NO.: SUBDIVISION NAME:
<br /> 5E /1YJ 3 /T F N/R i t nn E o t A
<br /> COUNTY: OWNER'S1BUY4RS NAME: MAILING ADDRESS:
<br /> DA N� 2'£G-FRIED e;tv1Aiz`r THtES 6-2-I 7 1--}w't r73 J ►rVIA-C2 SHALI 'I S - -.5"--"S-7
<br /> USE DATES OBSERVATIONS MADE
<br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: ,__,{ , PROFILE DESCRIPTIONS: PERCOLATION TESTS
<br /> %Residence 3 - Lo New ❑Replace (1/7-4/15--
<br /> ..//Z4/1S- 5/ ----2-3/ 5
<br /> RATING:S.Site suitable for system U-Site unsuitable for system /
<br /> CON ENTIONAL: MOUND: IN-G•. ND PRESSURE:'SYSTSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:loptional)
<br /> S UU S ❑U 1►� S L]U t 1 S .—.S BUJ C o-A-der-Pr-7•--,/TL
<br /> If Percolation Tests are NOT required DESIGN RATE:, / 1 I If any portion of the tested area is in the � J�
<br /> under s.H63.09(5)(b),indicate: A-' 4 I(Floodplain, indicate Floodplain elevation: /
<br /> PROFILE DESCRIPTIONS
<br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPT
<br /> NUMBER DEPTH IN, ELEVATION
<br /> �OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
<br /> .•-t can -5,2 - 36" ii- ii-or.— 64
<br /> B- ( 7? V. 9 ,moo E 'o`f 7 g - P, 32 6 Li 7(34 Ste /3-(3, r lo
<br /> B' 72 !1. 0 l.� 3l .--lf 30(3.-,.5.,-;--( 7476., ` oT, r `,
<br /> B- 3 72. Q I' 4 L. t t 0 f 3"2g-t SA-c-i Lf 6 A_ Ste/ - 2_ 73 S.�'rLe,
<br /> B- 77 9 g '' y 6i 81 -S<=I,,2 76-.5-t-- 3'�.t. Ste, -2 2,3 ,5.e ,_
<br /> B- -3'-( c/-7 6' 1 ' 3 ' - '7 pt S-.-r 1 3 zQrtc,e� 35C���Sir �•r 3 z-354 -.
<br /> B-
<br /> . .
<br /> ELEVATION PERCOLATION TESTS
<br /> TEST DEPTH 1 WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
<br /> NUMBER INCHES AFTER SWELLING INTERVAL-MIN. , PERIOD 1 I P RIeD - e• PER INCH
<br /> P- 2 If g1.01 c.:.> 3v / '/` / /5/1„. 3Z --
<br /> P. 3 ;7 f/.1 45 3-z / rldr /r/y / yy/c /7
<br /> P. y a7 Qj e' rs 3en 2 '/rc a yL 3/r 4 /Sr
<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 h'
<br /> zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direc,tion and perr.
<br /> of land slope.
<br /> SYSTEM ELEVATION q1 -7- S ( REPLAC EM T. e''' I ,",r. p.
<br /> , c__� /V . LI,vEi 5E1/7 vwr/y, S i c 3 IZI. t cF
<br /> . — — ;, !� t
<br /> t'— -I - .,, - - —24.-10:-,-.11‘1 / f5'v- 5 . pfant,.IFr �� p
<br /> 20' 3
<br /> za=---fi• — — — z3.
<br /> Z _
<br /> �� I t..-,c- ,
<br /> �/ Pt-.42- 4
<br /> 3f'rcz,J — — — _— -- 9- r . ,
<br /> \, J I
<br /> N t V �'
<br /> -- -3.,..(itly ' "— o'
<br /> .-Jr-.LA... .---' ' I —� x--. j o'2.t n.
<br /> sr4E 2 0---Prte?5.c
<br /> ' to
<br /> I ( A•RAe-F GS✓�.L 1.•
<br /> I, the undersigned, hereby certify that the soil tests reported on this form/ere made y me in accord with the procedures and methods specified n the Wiscor•
<br /> Administrative Code,and that the data recorded and the location of thets are corre- to the best of my knowledge and belief.
<br /> (NAME (print): TESTS WERE COMPLETED ON:
<br /> JEFFREY L. HAMMES 5-12 -V 37f---
<br /> ADDRESS: CERTIFICATION NUMBE : PHONE NUMBER(optional
<br /> _3. 52.1 MARGARET ST. , MADISON WI. 53714 _ 2238 (60.8(222-86F'
<br /> This soil test report Is the f lest step in seourinq a sanitary persit. ft.county or CST SIGNATURE•
<br /> the°apartment say request verification of this soil test in the field prior to permit
<br /> TO TIM Mae lasorw. A are late set of plena hsr the private raaage erase and a permit application •.r--J` – -----
<br /> out be ailaittad to ti»appropriate local anthrity in antler to obtain a °clads, tts u---�r'� -�
<br /> sanitary pant stet is otsained and prated prior to tin start of toy mutilation.
<br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester.
<br /> DILHR•SBD-6395 (R.02/82) --OVER -
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