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^ <br /> ' <br /> ' <br /> ~ <br /> * <br /> INSTRUCTIONS FOR COMPLETING FORM 175 ' SBD ' 6395 <br /> ' To beu complete and accurate soil test,your report Must include: <br /> 1. Complete legal description; <br /> 2. The use section must clearly indicate whether this is a residence or onmm*pcia| project; <br /> l MAXIMUM number of bedrooms or commercial use planned; <br /> 4. |s this a new or replacement system; <br /> 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL <br /> OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; <br /> 6� PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; <br /> 7. MAKE A LEGIBLE diagram auvv,ote|v locating you, test locations. Drawing to scale is preferred. A <br /> separate sheet may be used if desired; <br /> 8. Make sure your benchmark and vertical o(nvadnn reference point are clearly shown,and are permanent; <br /> S, Complete all appropriate boxes as to dates, names,addresses, flood plain data, percolation test exemp- <br /> tion, if appropriate; <br /> 10. If the information (such as f|nmj plain,elevation)does not apply, place N.A. in the appropriate box; <br /> 11. Sign the form and place your current address and your certification number; <br /> 12. Make legible copies and distribute as ,ovui,:d. ALL SOIL TESTS MUST BE FILED WITH THE <br /> LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. <br /> ABBREVIATIONS FOR CERTIFIED SOIL TESTERS <br /> Soil Separates and Textures Other Symbols <br /> *t — Stone (over 10'') BR — Bedrock <br /> cob — Cobble (3 lO^) SS — Sandstone <br /> g, — G,amo| (uoder3^) LS — Limestone <br /> °o — Sand HGVV — High Groundwater <br /> rs — Coarse Sand Pnm — 9e,om|ntinn Rate <br /> medo — Medium Sand VV — Well <br /> fo — Fine Sand Bldg — Building <br /> Is — Loamy Sand > — Greater Than <br /> °v| — Sandy Loam / _ Less Than <br /> °| — Loam 8n — Brown <br /> °d| — Silt Loam 8| — Black <br /> d — 3i|/ Gy _ Gray <br /> °d — Clay Loom Y _ Yn||os <br /> sc| — Sandy Clay Loam R — Rkd . <br /> dc| — Silty Clay Loam ` mot — Mottles <br /> sc — Sandy Clay w/ — with <br /> sic — Silty Clay fff — few, fine,faint <br /> °o —~C|ay , *n — common,coarse <br /> * ^� nt — Peat . mm — Many' medium <br /> m — Mud' d — dixtinu <br /> n — promin,nt <br /> ~ HVVL — High water level, <br /> �Iixgonen,! soil tevu,ny ' surface water <br /> for liquid waste disposal BM — Bench Mark <br /> VRP — Vertical Reference Point <br /> . .� <br /> ' <br /> TO THE OWNER: <br /> This soil test report is the first step in securing a sanitary permit. The county orthe Department mayrequest <br /> verification of this u`i| test in the field prior to pert-nit issuance. A complete wa of plans for the private <br /> s,=mg* system and a permit application must be submitted to the appropriate local authority in order to <br /> obtain a permit. The sanitary permit must be obtained and Posted prior to the start o/any construction. <br /> ` <br /> ` ` <br />