Form CEP-2/3 "Site Evaluation Data" - Alabama

What Is Form CEP-2/3?

This is a legal form that was released by the Alabama Department of Public Health - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2017;
  • The latest edition provided by the Alabama Department of Public Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CEP-2/3 by clicking the link below or browse more documents and templates provided by the Alabama Department of Public Health.

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Download Form CEP-2/3 "Site Evaluation Data" - Alabama

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CEP-2/3 Site Evaluation Data
Name/Establishment/Development
________________________________________________________________________________
_____________________________________________________________________________________________
Location/Address
Evaluator
Soil Classifier
Engineer
Land Surveyor
Geologist
PHESS – CEP2 only
Method Used
Percolation
Unified
Mapping
Morphology
NOTE: All percolation results shall be reported. All testing methods and results are subject to verification
by the ADPH.
1. Unified / Morphology Method / Soil Boring Data for Percolation Method
(Attach Additional Sheets As Needed)
Hole
Layer ID/
Depth Of
Mottles, Redox, Etc
Texture* Texture
Other
Dominant
No.
Horizon*
Up/Lo
Group*
Color Of Each
Boundary
Layer
Field Sizing _______mpi
Restriction
Restriction Type (circle): ASHES
Minimum Vertical Separation
_________ Depth (in.)
Depth (in.)
Rock Pan Water Indicator
Distance in Appendix A,
@
______
Other_____________
Table 19________
.
Field Sizing _______mpi
Restriction
Restriction Type (circle):
Minimum Vertical Separation
_________ Depth (in.)
Depth (in.)
ASHES Rock Pan Water
Distance in Appendix A,
@
______
Indicator Other____________
Table 19
_______
CEP-2/3 3/2017
CEP-2/3 Site Evaluation Data
Name/Establishment/Development
________________________________________________________________________________
_____________________________________________________________________________________________
Location/Address
Evaluator
Soil Classifier
Engineer
Land Surveyor
Geologist
PHESS – CEP2 only
Method Used
Percolation
Unified
Mapping
Morphology
NOTE: All percolation results shall be reported. All testing methods and results are subject to verification
by the ADPH.
1. Unified / Morphology Method / Soil Boring Data for Percolation Method
(Attach Additional Sheets As Needed)
Hole
Layer ID/
Depth Of
Mottles, Redox, Etc
Texture* Texture
Other
Dominant
No.
Horizon*
Up/Lo
Group*
Color Of Each
Boundary
Layer
Field Sizing _______mpi
Restriction
Restriction Type (circle): ASHES
Minimum Vertical Separation
_________ Depth (in.)
Depth (in.)
Rock Pan Water Indicator
Distance in Appendix A,
@
______
Other_____________
Table 19________
.
Field Sizing _______mpi
Restriction
Restriction Type (circle):
Minimum Vertical Separation
_________ Depth (in.)
Depth (in.)
ASHES Rock Pan Water
Distance in Appendix A,
@
______
Indicator Other____________
Table 19
_______
CEP-2/3 3/2017
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Field Sizing _______mpi
Restriction
Restriction Type (circle): ASHES
Minimum Vertical Separation
_________ Depth (in.)
Depth (in.)
Rock Pan Water Indicator
Distance in) Table 19______
@
______
Other____________
* Required for Unified/Morphology Method only
2. Percolation Test Data (Attach Additional Sheets As Needed)
Extended
Date
Beginning /
Beginning /
Total
Depth From
Stabilized
Saturation
Percolation
Of
End Time Of
End Time Of
Surface
Percolation
Depth of
Procedure
Hole No.
Percolation
Saturation
Testing
To
Rate in
Hole
Testing
Tests
Restriction
Min. per inch
Y
No
es
3. Professional Soil Classifier Certified Soil Mapping data attached
SITE EVALUATOR
Primary EDF design is limited by the most restrictive test result, which is recorded as Hole #_________.
I, _______________________________________________a (professional engineer, surveyor, soil classifier or
Print/Type Name
geologist) do hereby certify that the above and/ attached soil tests were conducted as specified in the Rule 420-3-1-
.61 thru Rule 420-3-1-.76 and are true and accurate as presented..
Signature______________________________ Date ____________________ Registration No. ______________
Address _____________________________________ City _______________ State _________ Zip ___________
Phone ______________ Fax _______________
E-mail ___________________________________________
________________________________
____________________ _______________ ______ ___
Firm Name
Address
CEP-2/3 3/2017
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