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4 <br /> INSTRUCTIONS FOR COMPLETING FORM 115 - SRD - 6395 <br /> To be a complete and accurate soil test,your report must,include: <br /> 1. Complete legal description; <br /> 2. The use section must clearly`tindicate whether this,is a residence or commercial project;, <br /> 3. MAXIMUM number of belirooms or commercial use planned; <br /> 4. Is this a new or replacement system; <br /> 5-Complete the suytability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONL4 IF ALL <br /> OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; <br /> B. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; <br /> 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred, A <br /> separate sheet may be used if desire& <br /> P. Make sure:your benchmark and vertical elevation reference point are clearly shown,and are permanent; <br /> 9. 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 flood plain,elevation)does riot apply, place N.A. in the appropriate box; <br /> 11. Sign the form and place your current address and yor€r certification number; <br /> 12. Make legible copies and distribute as re(juired. ALL SOIL TESTS MUST BE FILED WITH THE <br /> LOCAL AUTHORITY WITHIN 30 MAYS OF COMPLETION. <br /> r ABBREVIATIONS FOR CERTIFIED SOIL. TESTERS <br /> Sod Separates and Textures Other Symbols � <br /> st - St0' ('{Ouer 14J"} BR Bedrock <br /> �.. _ - <br /> cob Cobble (3- 10") SS -' Sandstone <br /> gr - Gravel (under 3") LS Limestone <br /> *s - Sand HGW - High Groundwater <br /> cs Coarse Sand y� E'' Perc - Percolat€O rRate <br /> reeds y Medium Sand W Well � r <br /> •,fs Finer Sand,,,, Bldq -- Building'y ; <br /> Is - Loamy Sand \ -- Greater Than <br /> sl _ Sandy Loam < Less Than <br /> *1 - Loans Ern -- Brown <br /> si) - Silt Loan-i BI Blank <br /> si - Silt Gy, - Gray <br /> *cl -- Clay Loarn Y - Yellow <br /> scf - Sandy Qlay,Loam R fled; - <br /> t sic} -- sty Clay Loam niot: - Motf•les <br /> Sc Sandy Clay 7 v" - with - - <br /> sic S€lty Clay f, r y,fff few, fine, faint <br /> c.1t GIVY t ; cc_ - cgmmGp, coarse <br /> �. pt ._ Peat • A mm - _1V1 medium r <br /> rn Muck t. d-*-'gist€a ct , <br /> 1 -:p fA prorriiinent <br /> ��. .HWL - H-igh,water level, r <br /> Six general soil textures ;;surtface wate.*i' <br /> i <br /> for licluid_Wastesii5posal-. BM Bench Mark___ - <br /> VRP V rt`ical RecrYen Point <br /> • r_; r <br /> TO THE OWNER: <br /> This soil test report is the first step in securing a sanitary permit. The county or the Department may request <br /> verification cf this soil test in the field prior to permit: issuance. A complete set of plans for the private <br /> sewage system and a permit application must be suL6itted to the appropriate local autliority in order to <br /> obtain a permit. The sanitary permit must be obtained and posted prior to the start of any.cbristructior). <br /> 3. W <br />