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• Verifying Soil Quality and Depth — SECTION SIX <br /> Model FIELD VERIFICATION FORM for BMP T5.13 <br /> (available as MS Word file at www.SoilsforSalmon.org) <br /> PROJECT INFORMATION Page# of pages <br /> Complete all information on page 1,only site address and permit number on additional pages. <br />• <br /> Site Address: <br /> Permit Type: Permit Number: <br /> Permit Holder: Phone: <br /> Mailing Address: <br />• Customer Representative At Inspection: Phone: <br /> Plan Prepared By: <br /> VISIT RECORD <br /> Date: Inspector: Items Approved: Fencing off undisturbed areas _Soil preparation <br /> Mulch Other: <br />• Date: Inspector: Items Approved:_Fencing off undisturbed areas _Soil preparation <br /> Mulch Other: <br /> Date: Inspector: Items Approved:_Fencing off undisturbed areas _Soil preparation <br /> Mulch Other: <br /> DELIVERY TICKETS FOR AMENDMENT,TOPSOIL& MULCH. <br />• (Check if tickets match Soil Management Plan(SMP). Total volumes for all areas should be on page 1 of the SMP). <br /> ❑ Product#1: Comments: <br /> ❑ Test Results:_%organic matter C:N ratio<25:1 "stable"(Y/N) <br /> ❑ Quantity: cu.yds. (except mulch,or<35:1 for native plants) <br /> ❑ Product#2: <br /> ❑ Test Results:_%organic matter C:N ratio<25:1 "stable"(Y/N) <br />• ❑ Quantity: cu.yds. (except mulch,or<35:1 for native plants) <br /> ❑ Product#3: <br /> ❑ Test Results:_%organic matter C:N ratio<25:1 "stable"(Y/N) <br /> ❑ Quantity: cu.yds. (except mulch,or<35:1 for native plants) <br /> AREA# (refer to Areas mapped on Site Plan and described on Soil Management Plan) <br />• PLANTING TYPE Test Holes Rod Test <br /> Undisturbed vegetation Number Test Holes Required: (minimum 1 hole/acre) Number Rod Tests Required: <br /> Turf Soil Amended 8 Inches Deep? Y/N (minimum 10 tests/acre) <br /> Planting Beds Amendment Matches Soil Mgmt. Plan? V/N <br /> Other: ❑ Topsoil Product? Rod penetrates 12 inches <br /> ❑ Amendment Visible? deep in all areas? Y/N <br /> Square footage: Subsoil Loose/Scarified 12 Inches Deep? Y/N <br />• (If Planting Bed, Mulch is Required After Planting) Comments: <br /> Mulch Product: <br /> Mulch two inches deep? Y/N <br /> AREA# <br /> PLANTING TYPE Test Holes Rod Test <br />• Undisturbed vegetation Number Test Holes Required: (minimum 1 hole/acre) Number Rod Tests Required: <br /> Turf Soil Amended 8 Inches Deep? Y/N (minimum 10 tests/acre) <br /> Planting Beds Amendment Matches Soil Mgmt.Plan? Y/N <br /> Other: ❑ Topsoil Product? Rod penetrates 12 inches <br /> ❑ Amendment Visible? deep in all areas? Y/N <br /> Square footage: Subsoil Loose/Scarified 12 Inches Deep? Y/N <br />• (If Planting Bed, Mulch is Required After Planting) Comments: <br /> Mulch Product: <br /> Mulch two inches deep? Y/N <br /> Add additional sheets for additional Areas <br />• <br /> 16 <br />