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INSTRUCTIONS FOR COMPLETING FORM 11 - SRD - 6395 <br /> To.be p compiete,and accurate soil test,your i eriOrt Hurst include: <br /> 1. Complete legal description; <br /> 2. The.use se4tian musttclearly indicate whether this is co rt?sidence or comrne(cial protect, <br /> 3, MAXIMUM number of bedrooms or commercial use planned; <br /> 4. Is this a new or replacement system; ;, <br /> 51, Complete the suitability (ating boxes. A SITE IS Sl fTABLE 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 accuratelV'locating ys:}ur test locatiot)s. Drawing,to scale is preferred. A <br /> separate sheet may be used if desired;; 6 <br /> 8. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; <br /> r, <br /> 9. Complete all appropriate boxes as to dates, names,addresses, floor! plain data, percolatioq test:exemp- <br /> tion, if appropriate; ' <br /> 10. If the information (such as flood plain,elevatlidn)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 required, ALL SOIL TESTS MUST-8E FILED WITH THE <br /> LOCAL AUTHORITY WITHIN 30 GAYS OF COMPLETION. <br /> ABBREVIATIONS FOR CERTIFIED SOIL TESTERS <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 Grocrrrdwater <br /> f, cs ---'Coarse Saud., Pere Percolatiotr°Rate a � <br /> �roed,s Medium Sand,. W - Wall <br /> y :ifs Fine Sand �fdg - Building r r� <br /> Is - Loamy Sane] - Greater Than <br /> 4sl Sandy Loam Less Than <br /> �l - Loam Fan - Brown <br /> *0 -- Silt Loam BI ..- Black <br /> si - Silt Gy Gray <br /> "cl Clay Loarn Y Yellovw, <br /> scl - Sandy Clay Loam R - -fl(-d` <br /> y _ siO -,Silty Clay,Loam mot - Mottles <br /> sc Sandy Clay w/ - with <br /> ' sic - Silty Clay fff few, fine, faint <br /> c -- Clay cc -- cornn-rorr, coarse <br /> fit Peat nn rn Many, nrediurn <br /> rn -- Muck d - distinct <br /> p - prominent <br /> HWL High water IevTI, <br /> Six general soil textures surface water <br /> for liquid wasu.dispbsal _ BM -.Bench Mark <br /> VRP - Vertical Refere'ricel?Qint <br /> R t _�•....._._•. <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 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 submitted to t:he appropriate local authority in order to <br /> obtain a-permit. The'saninr ermit must be obtained and posted prior to the.star�t of;wy q)nstructiyn. -` <br /> 1-• <br />