U.S Department of Agriculture s4

U.S. DEPARTMENT OF AGRICULTURE
NATURAL RESOURCES CONSERVATION SERVICE
IDAHO

CONSTRUCTION REQUIREMENTS WORKSHEET
GRADE STABILIZATION STRUCTURE
code 410

Land Owner/Operator

Job Location

County SWCD Farm/Tract No.

Referral No. Prepared By Date

IT SHALL BE THE RESPONSIBILITY OF THE OWNER TO OBTAIN ALL NECESSARY PERMITS AND/OR RIGHTS, AND TO COMPLY WITH ALL ORDINANCES AND LAWS PERTAINING TO THIS installation.

Installation shall be in accordance with the following drawings, specifications and special requirements. NO CHANGES ARE TO BE MADE IN THE DRAWINGS OR SPECIFICATIONS WITHOUT PRIOR APPROVAL OF NRCS.

1. Drawings, No.

2. Practice Specifications

3. Compaction method (Section IV Earthfill) to be used

4. Rock riprap gradation: D100 %, D75 %, D50 %, D25 %, D0 %.

5. Bedding gradation Geotextile yes no

6. Seeding mix and rate

7. Special Requirements

PRACTICE APPROVAL:

Job Classification: (Ref: Section 501 NEM)

Show the limiting elements for this job. This job is classified as, Class ______

Limiting elements: Units

Drainage area sq mi

Height drop feet

Design Approved by: Date:

LANDOWNER's/OPERATOR'S ACKNOWLEDGMENT:

The landowner/operator acknowledges that:

a. He/she has received a copy of the construction drawings and specifications, and that he/she has an understanding of the contents, and the requirements. The project will be constructed according to the plans and specifications.

b. He/she understands that NRCS makes no representation as to the existence or non-existence of utilities. It is the responsibility of landowners, operators and contractors to comply with the provisions of Idaho state law. Landowners, operators, and contractors will be liable for any damage resulting from disruption of service caused by construction activities. The phone number for the utility location service in Idaho is 1-800-342-1585.

c. Maintenance of the installed work is necessary for proper performance during the project life.

Accepted by; Date:

practice completion:

I have made an on site inspection of the site (or I am accepting owner/contractor documentation), and have determined that the job as installed does conform to the drawing plan and practice specifications,

Construction Certification by:

/s/ Date

Job title:

NRCS, CA
September 1995