10105 1ST DR SE 2021-12-14 - Laserfiche WebLink

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