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INSTRUCTIONS FOR COMPLETING FORM 115- SBD - 6395 <br /> To be a complete and accurate soil test,your report must include: <br /> I. Complete legal description; <br /> 2. The use section must clearly indicate whether this is a residence or commercial project; <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 OTHER <br /> SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS: <br /> S. PLEASE use the abbreviations shown here for writing profile descriptions and Completing the plot plan; <br /> 7. MAKE A LEGIBLE diagram accurately locating yourtest locations.Drawing scale is proffered.Aseparate sheet <br /> may be used if desired: <br /> S. Make sure your benchmark and vertical elevation reference point are clearly shown.and are permanent; <br /> 9. Complete all apropriate boxes as to dates, names,addresses,flood plain data, percolation test exemption,if <br /> appropriate; <br /> 10. I1 the information (such as flood plain,elevation)does not apply,place N.A.in the appropriate box; <br /> 11. Sign the form and place your current address and yur certification number; <br /> 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL <br /> AUTHORITY WITHIN 30 DAYS OF COMPLETION. <br /> ABBREVIATIONS FOR CERTIFIED SOIL TESTERS <br /> Soil Separates and Textures Other Symbols <br /> at — Stone (over 1(Y") BR — Bedrock <br /> cob — Cobble (3 - 10") SS — Standstone <br /> gr — Gravel (under 3") LS — Limestone <br /> 'a — Sand HGW — High Groundwater <br /> ca — Coarse Sand Perc — Precolation Rate <br /> meds — Medium Sand W — Well <br /> is — Fine Sand Bldg — Building <br /> Is— Loamy Sand — Greater Than <br /> 'sl — Loamy Sand < — Less Than <br /> '1 — Loam Bn — Brown <br /> *ail — Silt Loam BI — Black <br /> si — Slit Gy — Gray <br /> cl — Clay Loam Y — Yellow <br /> act — Sandy Clay Loam R — Red <br /> sicl — Silty Clay Loam mot — Mottles <br /> sc — Sandy Clay w/ — with <br /> sic — Silty Clay fit — few, fine, faint <br /> 'c — Clay cc — common, coarse <br /> pt — Peat mm — Many, Medium <br /> m — Muck d — distinct <br /> p — prominent <br /> HWL — High water level. <br /> surface water <br /> Six general soil textures BM — Bench Mark <br /> for liquid waste disposal VRP — Vertical Reference Point <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 sewage system <br /> and a permit application must be submitted to the appropriate local authority in order to obtaina rmi . <br /> permit must be obtained and posted prior to the start of any construction. D rS 0 <br /> l� ii <br /> AUG 18 !"93 <br />