1984/06/01 - SANITARY - SAN - Repl Non-Press - 11371

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� r r � INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test,your report must include; . 1.-Corplete legal description; 2. The use.section must clearly indicate whe'her this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be useii if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 0. Complete all appropriate boxes as to dates, names,addresses, flood plain data, percolation test exemp- tion, if appropriate; 10. If the information (such as flood plain,elevation)does not apply, place N"A, in the appropriate box; 11. Sign the form and place your current address and your certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION, ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10- BR - Bedrock cob Cobble (3- 10") SS - Sandstone gr - Gravel (under 3") LS - Limestone *s - Sand HGW - High Groundwater cs" Coarse Sand Perc - Percolation Rate med s - Medium Sand W -- Well fs Fine Sand Bldg ._ Building Is Loamy Sane! > -_ Greater Than "sl -- Sandy Loarn < - Less Than *1 Loam Bn - Brown sil - Silt Loam BI -- Black si - Silt Gy - Gray *cl ---- Clay Loam Y - Yellow - sel - Sandy Clay Loam R - Red sici - Silty Clay Loam mot - Mottles sc Sandy Clay wi" - with sic - Silty Clay fff few, fine, faint *c Claf., cc - common, coarse pi Peat men - Many, mediurn m - Mink d - distinct p - prominent HWL - High,water level, Six generalsoil textures surface water y for liquid waste disposal BM Bench Mark V R P Vertical Reference Point 7: TO Tf4E OWNER: -Pl': sail test report is the first slop in securing a sanitary permit, The county or the Department may request verification of this soil test in the field prior to permit: issuance. A complete set of plans for the private sewage system and a permit. application roust be submitted to the appropriate local authority in order to obtain a perryiit" The san;i- y rwrrnit must be obralned and posted prior to the start of any construction.