HomeMy WebLinkAboutPermit File BLD-2021-0546 4507 Queen Ann Way (6) r
V`v N - 0 r"W'5 (�p p Developing a Soil Management Plan - SECTION FIVE
�f' dC—lit_— Model SOIL MANAGEMENT PLAN for BMP T5.13
(available as AISWordJile at wwiv.Soilsfar•Sahnon.org)
PROJECT INFORMATION Page#_of pages
Complete all information on page 1;only site address and permit number on additional pages.
Site Address/Lot No.:
Permit Type: 15im re 'ta fePermit Number; 2 -
Permit Holder: Pa e:
Mailing Address: 7 Qt-Pell 14, W
2
Contact Person: 4nr Phone: -!� 7(�^2
Plan Prepared B
yZ
ATTACHMENTS REQUIRED Check o re aired items that are attached to thisplan)
_Site Plan showing,to scale: _Areas of undisturbed native vegetation(no amendment required)
_New planting beds and turf areas(amendment required)
Type of soil improvement proposed for each area
Soil test results(required if proposing custom amendment rates
Product test results for proposed amendments
AREA# (should match Area#on Site Plan)
PLANTING TYPE _Turf _Undisturbed native vegetation
Planting Beds Other:
SQUARE FOOTAGE OF THIS AREA: square feet
SCARIFICATION _inches(depth)of scarification needed to achieve finished total 12"loosened depth.
Subsoil will be scarified
PRE-APPROVED _inches of compost or imported topsoil applied
AMENDMENT METHOD: X 3_I (conversion factor, inches to cubic yards) PRODUCT:
Topsoil import =cu.yards per 1,000 sq.ft.
_Amend with compost X _,000s sq.ft.in this area
_Stockpile and amend _ =cubic yards of amendment —-->-->—--> QUANTITY: CU.YDS.
cu.yds.stockpiled) (needed to covet-this area to designated depth)
CUSTOM AMENDMENT Attach test results and calculations.
Topsoil import inches organic matter or topsoil import PRODUCT:
Topsoil&compost lift X 32
_Amend =cu,yards/1,000 sq.ft.
_Stockpile and amend X _,000s sq.ft.in this area
( cu.yds.stockpiled) =cubic yards of amendment ->->-> -> QUANTITY: CU.YDS.
MULCH _,000 sq.ft, PRODUCT:
X 6.2 (conversion,to give 2 inch mulch depth)
=cubic yards of mulch —->——-a--> QUANTITY: CU.YDS.
TOTAL AMENDMENT/TOPSOIL/MULCH FOR ALL AREAS(complete on a e 1 onl; totaling all areas/ a es in this Plan
Product#l: S L ❑Quantity: cu.yds.
Test Results: %or anic matter C:N ratio<25:1(except mulch,or<35:1 for native plants) "stable' /no
Product#2: ❑Quantity: cu.yds.
❑ Test Results: %organic matter C:N ratio<25:1(except mulch,or<35:1 for nativeplants) "stable"(yes/no)
❑ Product#3: ❑Quantity: cu.yds.
❑ Test Results: %organic matter C:N ratio<25:1(except mulch,or<35:1 for nativeplants) "stable"( es/no)
Date: Inspector: Approved: Revisions Required:
Date: Inspector: Approved: Revisions Required:
COMMENTS:
13