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i <br />Developing a Soil Management Plan — SECTION FIVE <br />u <br />r <br />L <br />Model SOIL MANAGEMENT PLAN for BMP T5.13 <br />(available as MS Word file at www.SoilsforSalmon.org) <br />PROJECT INFORMATION Page # of pages <br />Cmmnlete all infnrmatinn an naQe 1- nnlv cite address and nermit number nn additinnal napes. <br />Site Address / Lot No.: } ('05 <br />D11 X <br />S�� 9vtre, -* W to <br />Permit Type: S <br />1 <br />Permit Number: <br />Permit Holder: <br />Phone: <br />lS - 23Z - ZS if 7 <br />Mailing Address: <br />WG"4 <br />qq, <br />_ <br />V'W quoW <br />Contact Person: <br />Ame&r l;rlhcA,,v ev <br />Phone: t4V5 -7 )1 - V�41-1 <br />Plan Prepared B <br />Gt+vt "—j„ p <br />Q,1 <br />(, lntGbj � v1 <br />ATTACHMENTS REQUIRED (Check off required items that are attached to this plan) <br />_ Site Plan showing, to scale: _ Areas of undisturbed native vegetation (no amendment required) <br />_ New planting beds and turf areas (amendment required) <br />Type of soil improvement proposed for each area <br />Soil test results (required if proposing custom amendment rates <br />Product test results for proposed amendments <br />AREA # (should match Area # on Site Plan) <br />PLANTING TYPE Turf _ Undisturbed native vegetation <br />Planting Beds _ Other: <br />SQUARE FOOTAGE OF THIS AREA: square feet <br />SCARIFICATION <br />_ inches (depth) of scarification needed to achieve finished total 12" loosened depth. <br />Subsoil will be scarified <br />PRE -APPROVED <br />TI inches of compost or imported topsoil applied <br />AMENDMENT METHOD: <br />X 3_1 (conversion factor, inches to cubic yards) <br />y <br />PRODUCT: (. t7 ✓M P s 7 <br />"( Topsoil import <br />= cu. yards per 1,000 sq. ft. <br />_ Amend with compost <br />X " t"4 00s sq.ft. in this area <br />_ Stockpile and amend <br />, lcq ° cubic yards of amendment <br />QUANTITY: CU. YDS. <br />( cu. yds. stockpiled) <br />(needed to cover this area to designated depth) <br />CUSTOM AMENDMENT <br />Attach test results and calculations. <br />_ Topsoil import <br />inches organic matter or topsoil import <br />PRODUCT: <br />_ Topsoil & compost lift <br />X 3_1 <br />Amend <br />= cu. yards / 1,000 sq. ft. <br />_ Stockpile and amend <br />X _ ,000s sq.ft. in this area <br />( cu. yds. stockpiled) <br />= cubic yards of amendment — — --> — --> <br />QUANTITY: CU. YDS. <br />MULCH <br />_ ,000 sq.ft. <br />PRODUCT: <br />X 6.2 (conversion, to give 2 inch mulch depth) <br />= cubic yards of mulch —> —> —> —> -> <br />QUANTITY: CU. YDS. <br />TOTAL AMENDMENT/'TOPSOIL/MULCH N'OR ALL AREAS (complete on page 1 only, totaling all areas/pages in this Plan <br />❑ <br />Product 91: <br />❑ Quantity: cu. yds. <br />❑ <br />Test Results: % organic matter <br />C:N ratio <25:1 (except mulch, or <35:1 for nativeplants) "stable" es/no <br />❑ <br />Product #2: <br />❑ Quantity: cu. yds. <br />❑ <br />Test Results: % organic matter <br />C:N ratio <25:1 (except mulch, or <35:1 for nativeplants) "stable" (es/no) <br />❑ <br />Product #3: <br />❑ Quantity: cu. yds. <br />❑ <br />Test Results: % organic matter <br />C:N ratio <25:1 (exce t mulch, or <35:1 for nativeplants) "stable" (es/no) <br />Date: <br />Inspector: <br />Approved: <br />Revisions Required: <br />Date: <br />Inspector: <br />Approved: <br />Revisions Required: <br />COMMENTS: <br />E <br />13 <br />