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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS
<br /> . INDUSTRY, DIVISION
<br /> LABOR AND PERCOLATION TESTS (115 MADISON BOX
<br /> I 53707 9
<br /> HUMAN RELATIONS
<br /> IH63.06(1)&Chaim,145.046)
<br /> LOCATION:A/ SECTION: T SMI►/MUNICIPALITY: OT NO. NO.:SUBDIVISION NAME:
<br /> �E )i€1i ,s/i GN/R/oE+. o,,,vA/ r / 1�- ' -°
<br /> COUNTY: OWNERI/BUYER'S NAME: MAILING ADDRESS:
<br /> Ow•✓t _ /ti/XE /r!C L. , / 16/•0 .09.7/GP 4.r,AO //v"Ivo.✓o.✓.I,S S'37/4p
<br /> USE DATES OBSERVATIONS MADE
<br /> NO.BEOfMS:COMMERCIAL DESCRIPTION: 10! PROFILE DESCRIPTIONS: COLATION TESTS:
<br /> tetdertca _ (" - - Joraw ❑Apiece //- 7.O G //-//-A.
<br /> RATING:S■Site luitd&for somata Um Site wwfitteMe for system
<br /> CQ—�TIDb• Mil i. IP1 aT SY❑i I©6-LSI O iG®�.RECOMMENDED SYSTEM:(optionall
<br /> If Percolation Teats are NOT required DESIGN RATE: I I
<br /> puirad If any portion of the tested area is in-the
<br /> under s.H63.091511b1.indicate: // Floodplain,indicate Floodplain elevation: .4.1• A'
<br /> PROFILE DESCRIPTIONS
<br /> BORING DEPTH IN,ELEVATION DEOBS AVG80UPD1ESSTTERGH S4S TO BEDROCK 01 F 0 ERVED ISEE ABBRV.ON BACK jEXTURE,AN DEPTH
<br /> B-/ /eo 97. G. ,....•...AC >/o0 0.7QL/,; 7.LS!a+JC/,-se. ,aaO es /r14a,
<br /> B. Z.. yL ?z .7 z• 8L o-7, AIL /,' 7 93 a..sat,/;y3. dZ,a.s/rice
<br /> B-3 /aL 98. 8 /o2- 04:04/,- f. Lo,a. sc./,. Z.o-/ot a+r/ r.c k
<br /> B- V 9S 9y Z. > 9t o-L aG /,-4-Ye,B.sc/,• S/,-9S, B..j. /r.ct-
<br /> B- S /vG 9G.G T >/04 s-s! ac/,- y. Le,"'sc./,• Lo-/o L,a..I/r,a!-
<br /> B- _
<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 PERIIODD; PERIOD 3 PER INCH i
<br /> P. / ho .(/e.✓C /o / KL /Ji 4 , /"XL
<br /> P. 3 LZ 1 /O _ / %L //L „t/4
<br /> P- S 3L. do / 1�t /X4 / r/t_
<br /> P- .
<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 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 land slope.
<br /> SYSTEM ELEVATION 9-3. 6
<br /> L HZ• ys- .e'E Cart, SEC./9
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<br /> 7V3J!A I I :
<br /> 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 /> Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
<br /> I I
<br /> NAME(print): TESTS WERE COMPLETED ON:
<br /> /51,4/4.. .>'. NA4.0 //- //-,G
<br /> ADDRESS: CERTIFICATION NUMBER: PHONE NUMBERIopt.onall:
<br /> Z.9/9 4'A'/ds/ts/rl' "44!, /v-.RO, 1u,•;4// S`3717 t z ✓o Z3/- 33 y7
<br /> \ \ CST SI NATURE:
<br /> ir,e6 3a.id .eo.
<br /> DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. 9(....---
<br /> DILHR-SBO4395 IR.02/82) -OVER-
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