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r y <br /> INSTRUCTIONS FOR COMPLETING FORM 11 - S CE - 6395 <br /> To k�e a compl6te and accurate soil test,your 1HDOO rrrrrst in€,lud <br /> 1. Complete legal description; <br /> 2. The use section rn€rst•clearly indicate,whether this is a i esidence or commercial projecit; <br /> 3. MAXIMUM number of bedrooms or commercial use planned; <br /> 4. is 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 /> 5. PLEASE use the abbreviations shown here for vvi-icing l�3rofile 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 desired'; - <br /> 8. 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 your certification [lumber; <br /> 12. Make legible copies and distribute as required. ALL .SOIL TESTS MUST BE FILED WITH THE <br /> LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. <br /> ABBREVIATIONS FOR CERTIFIED SOIL TESTER'S <br /> Soil Separates and Textures Other Symbols <br /> st Stone (over 10") BR -' Bedrock <br /> col:[ Cobble (3- 10") SS - Sandstone <br /> gr - Gravel (under 3") LS Limestone <br /> 's - Sand HGW - High Groundwater <br /> cs Coarse Sand_ �' �Perc Percolation Rate <br /> rn-cl s - Medium Sarttf l' _ tNell <br /> M ,VI's - Fine Sand Building <br /> Is Loamy Sand - Greater Than <br /> "sl - Sandy Loam Less Than <br /> *l - Loam Bn .. Brovvi <br /> sil Silt Loanr BI - Black, <br /> Si .- Silt. Gy - Gray <br /> 'Cl - Clay Loam Y Ycellovv <br /> scl - Sandy Clay Loarn R Iced <br /> sicl - Silty Clay Loam not Moitle51 <br /> sc; - Sandy Clay V111;' - iwitlr <br /> sic -- Silty Clay fff few, Fine, faint <br /> c - Clay*, cc - common,coarse <br /> pt ..._ Peat olin ._ Many, medium <br /> m - Muck d - distinct _ <br /> p prominent <br /> HWL - High water level, <br /> Six general sail textures surface water <br /> for liquid waste disposal BM - Ber4ch Mark <br /> r- �VRP Vertical geferenc�Point <br /> X r. <br /> TO THE OWNER:This soil test report is the first step in securing a sanitary permit. The county or the Department may request <br /> verification of 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 subrrritted tc_� the appropriate local author'ity in order to <br /> obtain a pernut. The sanitary permit musi. be obtained and posted pi ior.to xhe start of any construction, <br />