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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS <br /> INDUSTRY;' DIVISION <br /> LA13101i• P.O. BOX 7969 <br /> HUMAN i��L,ATIONS PERCOLATION TESTS (115) MADISON,WI 53707 <br /> �� (ILHR 83.09(1) &Chapter 145) <br /> LOCH,ION: , • SECTION: TOWNS/HIIP///MM�tfIQTCTPfz/t�fT/�y:/1 `LOT NO.:BLK.NO. SUBDIVISION NAME:��x^��.1( <br /> K /s / /T�/R5 E (or}gt VI_aaO v 7... — c,s i � T.J ✓6 <br /> CO TY: OWNER'S/ 4444;0S NAME: MAILING ADDRESS: <br /> A-Na :R Ic. a QoVEi+e Z 1fg Pktk. ST, OiiEcQng WI S3S72._ <br /> USE DATES OBSERVATIONS MADE <br /> )4\ri NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFIL DESCRIPTIONS: PERCOLATION TESTS: <br /> esidence New ❑Replace i''.4-^ �q w. [ —n� <br /> RATING:S=Site suitable for system U=Site unsuitable for system ..7 <br /> CONVENTIONAL: MOUND: -IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional) <br /> XS ❑SEN11 ❑S NU ❑S1 U EIS CA 7-146Ncti- cdNVAN)'/Owi-L <br /> If Percolation Tests are NOT required DESIGN RATE: If any y portion of the tested area is in the <br /> under s. ILHR 83.0915)(b),indicate: Floodplain,indicate Floodplain elevation: <br /> PROFILE DESCRIPTIONS <br /> BORING TOTAL <br /> ELEVATION„Q,FPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH <br /> NUMBER DEPTH IN, OBSERVED , EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) <br /> B- 1 6O 6(7,0 NONE 760 6 14-5I 1Z BIAL Zo BNCC 3z Se- <br /> B. 2 72 q'-10 7 7z 6 131. 1 I, /4 13N / L- 52 6L,_. <br /> B. 3 6,o asks- 7 CO 6, 8 L SIL 12- B i iC.- <br /> _ s L- <br /> 1 04 <br /> B- 4- Ca qs s 2 'O G b 61L 1u S <br /> L ? 4 5 L <br /> B- 5— k `ls,c N 6N - N7 60 4- & Sit, `6 BNSci±� 4� s L <br /> B- <br /> PERCOLATION TESTS <br /> TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES <br /> NUMBER INCHES AFTE SWELLING INTERVAL-MIN. PERIOD 1 PERIOD PERVi PER INCH <br /> P- I I i a ,o 1 JJ!! ",]/"' <br /> P- 2 70 II I V !� - a.2-- <br /> P I 1 ) � 3/ 0 1 <br /> P- r JO 3o 1 ¢ 1 ` T ! ii-- / <br /> P- <br /> • <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 46.E Pa I, R 41-.0 Ai- <br /> i„ , 1 , <br /> I <br /> Ur , r <br /> 1� <br /> i <br /> 1 a <br /> N <br /> `� ,..r'6 - <br /> f <br /> (0 i // ! <br /> TH <br /> SO.° 3 S SSA <br /> r <br /> o <br /> V <br /> I NA <br /> r <br /> All rsE4- 'Ax 5 TPA/ jt5 <br /> PR _ <br /> rrn d, , <br /> j�_.¢Of_- : �.. Ai-r RAV 17 .1 _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 /> NAME (print): ^ ` TESTS WERE COMPLETED ON: <br /> ....141 <br /> ADDRESS: �m �'v Lj� ^�_ S7 <br /> //� CERTIFI A I UMBER: PHON NUMBER(optional): <br /> 114 S• 11-IN c7- VFeON W I L'3s 3 .sue ss5z <br /> CST SIGNAT R T <br /> DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. <br /> DILHR-SBD-6395(R. 10/83) —OVER — <br />