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A. A geotechnical evaluation shall include the following:

1. The first page of the document shall be labeled identifying the submittal as a "Mine Hazard Geotechnical Evaluation."

2. The date when the geological assessment was performed and the date when the verification was prepared.

3. The parcel number(s) of the site.

4. Site address, if one has been assigned by the County.

5. A brief description of the project (including the proposed land use) and a description of the area to be developed.

6. A description of the surface and subsurface geology, hydrology, soils, and vegetation on the site and a list of the mine hazard indicators, as set forth in PCC 18E.100.020 B., that were found on or in the vicinity of the site.

7. A summary of the results, conclusions, and recommendations resulting from the geological assessment of the mine hazards on or in the vicinity of the site. This summary shall address all of the information required in PCC 18E.100.030 B.

8. A discussion of the data and methods of analysis used to support the conclusions and recommendations presented in the geotechnical evaluation.

9. An accurate site plan drawn at a scale of 1" = 20', 1" = 30', 1" = 50' (or other scale deemed appropriate by the Department) is required. The Department may require that the site plan information listed below be based on a field survey by a licensed surveyor. The site plan shall include:

a. The limits/location of the mine hazard area(s), as set forth in PCC 18E.100.020 A. This shall include the estimated depth of any mine workings.

b. The location of any existing and proposed structures, utilities, on-site septic systems, wells, and stormwater management facilities.

c. The full geographical limits of the proposed project area (area to be developed).

d. Dimension the closest distance between the identified mine hazard area boundary and the project area.

e. Existing topography on the site presented in 2-foot contours.

f. Property lines for the site.

g. North arrow and plan scale.

10. A paragraph that states the following specific language:

"The services described in this evaluation were prepared under the responsible charge of (Individual's Name). (Individual's Name) meet the qualifications contained in Title 18E, Section 18E.100.030 to prepare a mine hazard geological assessment. (Individual's Name) understand the requirements of the current Mine Hazard Area Chapter 18E.100 and the definitions of the applicable terms contained within Chapter 18.25. (Individual's Name) or someone under his/her responsible charge has prepared a mine hazard geological assessment, conducted a field investigation, and researched historic records on or in the vicinity of the above referenced site. In my opinion, the scope of services completed for this project is adequate to meet the requirements of the Department and it does not appear that a mine hazard area exists within 300 feet of the boundaries of the proposed project area based on the scope of services completed for this project."

11. The name, mailing address, and telephone number of geotechnical professional who performed the geological assessment and prepared the verification.

12. The name, mailing address, and telephone number of the property owner.

B. The geotechnical letter shall be prepared under the responsible charge of an appropriately licensed geotechnical professional and be signed, sealed and dated by the geotechnical professional(s).

C. Geotechnical evaluation shall be in conformance with a format that is pre-approved by the Department.

(Ord. 2006-103s § 2 (part), 2006; Ord. 2004-57s § 2 (part), 2004)