10617 ROSEWOOD AVE 2022-01-25 - 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.org) 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 1 of the SMP). ❑ Product#1: Comments: ❑ Test Results:_%organic matter C:N ratio<25:1 "stable"(YIN) ❑ Quantity: cu.yds. (except mulch,or<35:1 for native plants) ❑ Product#2: ❑ Test Results: %organic matter C:N ratio<25:1 "stable"(YIN) • ❑ Quantity: cu.yds. (except mulch,or<35:1 for native plants) ❑ Product#3: ❑ Test Results:_%organic matter C:N ratio<25:1 "stable"(Y/N) ❑ Quantity: cu.yds. (except mulch,or<35:1 for native plants) 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 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 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