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DEPA.RT,MENT OF REPORT ON SOIL BORINGS AND SAFETY &.BUILDINGS
<br /> INDU£;RY, P.O. BOX 7DIVISION
<br /> 69
<br /> LABOR AND PERCOLATION TESTS (115) MADISON,WI 53707
<br /> HUMAN RELATIONS
<br /> (H63.09(1) & Chapter 145.045)
<br /> LOCATION./4 SECTION: TQWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME:
<br /> SE 14A 33 /T6 N/R/oE ovNl'J A_ / — /o.eo.0os ' GS/9-7
<br /> COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS:
<br /> O,4-✓E .T/4 c,C M c /e-,.v.✓ti S Z 3S .t �.✓ L s T. ,'i- 'i s a.✓� w/ S3 7 v3
<br /> E DATES OBSERVATIONS MADE
<br /> NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS:
<br /> ❑Residence �F/�� Q�G New ❑Replace ,S-_ Z/-( S S-- 1.2 - Fs
<br /> RATING:S-Site suitable for system U-Site unsuitable for system
<br /> CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional)
<br /> ZS ❑U ESEU ZS DU EIS EN OS 211
<br /> If Percolation Tests are NOT r DESIGN RATE:" •
<br /> squired If any portion of the tested area is in the
<br /> under s.H63.09(5)(b),indicate: /5 Floodplain, indicate Floodplain elevation: N• d•
<br /> PROFILE DESCRIPTIONS
<br /> BORING TOTAL DEPTH TO GROUNDWATER-INCHES_CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH
<br /> NUMBER DEPTH IN. ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
<br /> B- 9 G _ N v�Z So - SG F+�wwr r�-,r6
<br /> 4?6 /- .34 s �t ;..ern c/So; ZIb SC//o ' 77✓ 6 . LA'S) 0-, t fL 1
<br /> B. L /OO 970 (/ - > /or .• - cr; .644 - spy .QA .SC /0; 4{. ./J T/[G ..0 Z_.
<br /> B. 3 /O / 99. 7' > /0 / BL s.., 7; B„ G/ z 7; en 5.c- /O - 464S/TILL/ SG
<br /> to✓T,/ CNO Mof• S. G,t r 1I,- y9
<br /> B. y 97 9�. / > 97 BGs,/ 4, - 4mc�/0,- aB„rc/(.� evs/r,..c, GS
<br /> •B- S 8 8 9S. 7 88 ,c,L C, /4; B•, s c./, 34,- B.,s/'”, yo
<br /> B- t o /0 9 9 7. 7 V > /0 9 6L S,/L; 4,, c.//L D., sc; z.y,-8,.r/r,,.z, 47
<br /> 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- 3 GS ,✓o,✓E /o i7/L '2i4. '/ /S
<br /> f/ / 'a / e. ' , s/
<br /> .p- C. yy /O / L ' i. .Z7L • /3
<br /> P
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<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 horn
<br /> 'ontal and vertical elevation reference points and their location on the plot plan. Show the surface elevation at all borings and the direction and percent
<br /> of land slope.
<br /> SYSTEM ELEVATION 9 4 o
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<br /> I, the undersigned, hereby certify that the soil tests reported on this form were made by me 1tt accord with the procedures and methods specified in the Wisconsin
<br /> 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):
<br /> TESTS WERE COMPLETED ON:
<br /> �'i!(/L "An<nr
<br /> ADDRESS: S L Z YS
<br /> CERTIFICATION NUMBER: PHONE NUMBER(optional):
<br /> L.V 9 l/.✓i!/ r,7 4 •9!/. �ry.�v/S oi✓44// 5 3 7 0 5" Z Z }/U 2 3/ - 3 3 7 7
<br /> CST SIGNATURE:
<br /> DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester.
<br /> '111 HR-SHn cloy. IR 07/R71
<br /> OVER
<br /> EXHIBIT 2
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