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INSTRUCTIONS FOR COMPLETING FORIM, 115 SBD 6395
<br /> T-11l, use rJIA =a'1" i, ljxtmhe ner '131" a I)l C,jOc I,
<br /> 3, ro AX BAUM rwrn�,�l o4 hi'a 0, )On ;,.l co I,I ryl,�l Ma i,I,v I,I z,ii
<br /> T. Is t1w, a rle<-- x,,
<br /> sul t"oll I r", ,x to 1,,.xl-, A Sl i rIS SU,I FAB'Li M; }10LE j I N�C, Y;�N K ONLY IF A LL
<br /> 011 IF R SYSTEv!S APE ii01-Eil OUT BASPE, UN S(I'll "N'
<br /> 6. PLEASi _jc .om, h,.l, -'o, jllf%.de li)t�UOS CC,ffll)s tMij lhP plot
<br /> 7, MAKE A I,E1Gl8i,E ilau,im aicvmalody Io all I most J,,o c ,. Di umlno to scol, s orgfv—ot A
<br /> ma,
<br /> F. Make su,v yu., ,,w, j,,< le 31 , ',:;lllv a. ,i ar�
<br /> 9ccmnoleail apps opi "*,O bOx,, .s ;c da r,, nu,ues. ldkbr,,sv, , ld piwo if;eta, exl,mp-
<br /> lf opprop'-'ite;
<br /> ;O14 the mfomalll)ilcod plain,,kwsllo-) rant app , ol ue N Ai ) ,he apulo,w'Oe jc(,X,
<br /> 11. S41 the fc,'M dlld ., dGp )/,lll aAldro,3�, w1(i yull, C3rtihc,, ;i , jmb!i;
<br /> 12, M.Atf Ieylble conies ar,d drstributi! as AI-1- 5011 I ES1 S vlU@T BE i-ILED oll f li TjjE:
<br /> LOCAL AU T HOM r"M fWN Iii) PAYS Of M',AYI- :TION
<br /> ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
<br /> soli &lpatales and Ttixturin Other Ssmlink
<br /> Qo h co"We fg 10"1 Ss Sx)dW rwe,
<br /> sxld 4 C;"O'll H <n G, inchal,
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<br /> rrk-1 Mr ;r, S,r;d 06 Vv
<br /> P,nc Sand Mdfl
<br /> S�
<br /> 6 - Gray
<br /> 5x(�y cl�y
<br /> t -- 7 11 C, iy lh re"', 1,, 4,wr
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<br /> V"Itc,
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<br /> VRP V,
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<br /> TO THE OWNER:
<br /> This soil test report is the first step in securing a sanitary pe.rrni e Department may request
<br /> verification of this soil test in the field prior to permit issuan ele sot of plans for the private
<br /> sewage system and a permit application must be Submitted to t propmjte, local authority in otter to
<br /> obtain a permit. The sanitary plst-ina must he 01)tair'Ld and posted prior to the start of any construction.
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