Laserfiche WebLink
1:1 <br />BACKFILL EXCAVATION CERTIFICATE <br />K'1VP1%1#1 . W - G= 'r- -1 4Y.;2S-- � q Z - <br />Owner_e,Ovco-�J Phone No. <br />ne No. License No. <br />Contractor ),J 6 Pho <br />I <br />1. Submission of Soil Engineer's Compaction Report within 30 days of project completion, or <br />Submission of verification, e.g., load ticket, within 30 days of project completion that one of the following materials was <br />placed in the excavation in 12" lifts: <br />4 2. <br />A. Pea gravel—smooth, rounded material not more than one-half (1/2) inch in diameter <br />B. Crushed rock—self-compacting material not more than three-quarters (3/4) inch in cross sectional <br />measurement. (Use of crushed rock will not be permitted for backfill if contact will be made between the <br />backfill material and tanks/pipes made of poly resin glass or similar materials.) <br />1*1:14IM-1• <br />I hereby certify that a Soil Engineer's Compaction Report will be submitted within 30 da, of project completion, or submission of <br />verification that the select material described above will be placed ata minimum of ZVSe (51cubic yards per 1000 gallon tank <br />displacement and that the entire excavation will be backfilled and compacted to insure compliance with the Uniform Building Code <br />Appendix Chapter 70. <br />* Shall be the responsible managing employee on the license or authorized agent. <br />