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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 /> Complete all information on page 1;only site address and permit number on additional pages. <br /> Site Address/Lot No.: <br /> 1019 112th Street SW,Everett,WA 98204 <br /> Permit Type: Permit Number: <br /> Permit Holder: Comm.Health Center Phone: 425-789-3701 <br /> Mailing Address: <br /> 1019 112th Street SW,Everett,WA 98204 <br /> Contact Person:Brent Ediger Phone: 425-789-3701 <br /> Plan Prepared By: Timothy Sarkela(WESI) <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 inches(depth)of scarification needed to achieve fmished total 12"loosened depth. <br /> Subsoil will be scarified <br /> PRE-APPROVED 1.75 inches of compost or imported topsoil applied <br /> AMENDMENT METHOD: X 3.1 (conversion factor, inches to cubic yards) PRODUCT: Compost <br /> Topsoil import 5.425=cu.yards per 1,000 sq.ft. <br /> _x_Amend with compost 3,400 sq.ft.in this area <br /> _Stockpile and amend 18.5 =cubic yards of amendment —f—>—>-->—> QUANTITY: 18.5 CU.YDS. <br /> ( cu.yds. stockpiled) (needed to cover this area to designated depth) <br /> CUSTOM AMENDMENT Attach test results and calculations. <br />• Topsoil import inches organic matter or topsoil import PRODUCT: <br /> Topsoil&compost lift X 3_1 <br /> Amend =cu.yards/1,000 sq.ft. <br /> _Stockpile and amend X ,000s sq.ft.in this area <br /> ( cu.yds.stockpiled) =cubic yards of amendment —>—p—> --> QUANTITY: CU.YDS. <br /> MULCH ,000 sq.ft. PRODUCT: <br /> X 6.2 (conversion, to give 2 inch mulch depth) <br /> =cubic yards of mulch —>—>—>—*—>—> QUANTITY: CU.YDS. <br /> TOTAL AMENDMENT/TOPSOIL/MULCH FOR ALL AREAS(complete on page 1 only, totaling all areas/pages in this Plan) <br /> ❑ Product#1: ❑ Quantity: cu.yds. <br /> ib ❑ Test Results: %organic matter C:N ratio<25:1(except mulch,or<35:1 for native plants) "stable"(yes/no) <br /> ❑ Product#2: ❑ Quantity: cu.yds. <br /> ❑ Test Results: %organic matter C:N ratio<25:1 (except mulch,or<35:1 for native plants) "stable"(yes/no) <br /> ❑ Product#3: ❑ Quantity: cu.yds. <br /> ❑ Test Results: %organic matter C:N ratio<25:1 (except mulch,or<35:1 for native plants) "stable"(yes/no) <br /> Date: Inspector: Approved: Revisions Required: <br /> Date: Inspector: Approved: Revisions Required: <br /> COMMENTS: <br /> •• <br />