HomeMy WebLinkAboutRBPR-03-2016-23537.TIF �$A •G THIS IS NOT A PERMIT Case # RBPR-03-2016-23537
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Q itittit ti CATAWBA COUNTY HEALTH DEPARTMENT 0_" r�o i{ 0
v ' °"� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES • v
1842 sM Residential Building Plan Review - Manufactured Home . elCy a.%
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(�� �p g AUTH_CONST - NEW_WELL fa i•o.
Applicant *CLAYTON HOMES# 81 /CMH INC(UNLICENSED), 1230 CONOVER BLVD, CONOVER NC 286
B:828-465-3450F:828-464-0261 JWHOLDERr@iHOTMAIL.COM
Land Owner BOBBY SHOOK, 6245 MONFORD DR, CONOVER NC 28613
(/Owner LAVINE SCROGER, 383 N THOMAS LN, STONY POINT NC 28678
C:8285142485
NAME TO APPEAR ON PERMIT
Lavine Scroger
SITE ADDRESS: 6245 ROCKY RD, CLAREMONT NC 28610 PIN # 375501351758
NAME of SUBDIVISION: ROXBURY FIELDS Lot# 2 Section/I3Iock
PROPERTY SIZE: Square Feet Acres 0.5
DIRECTIONS: Hwy 16 toward Taylorsville, Right onto Riverbend Rd, Left onto Rocky Rd, Property is on the Left.
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: -240 WATER SUPPLY: Private Well
DESCRIBE WORK(SW 16x76, Decks: Front & Back 6x6
New 2016 16 x72 Si nglewlde 2"Eedroom 2 bath single roof vinyl siding class B must have 36 ' deck on
front-must be parallel to road-vinl underpending- must sceen or remove towing tongue
SITE INFORMATION
Do any of the following apply to the property for which this application is applied?
If the answer to any of the questions below is"YES", then supporting documentation is required:
Does this site contain any jurisdictional wetlands? No
Does this site contain any existing wastewater systems? No
Is any of the wastewater going to be generated on the site other than domestic sewage? No
Is the site subject to approval by any other public agency? Yes
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: Mobile Home OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: 0 #OF OCCUPANTS: 2
PROP SED CONSTRUCTION
NEW STR
# UCTURE-D1M:-SW_16x76, Decks: Front& Back 6x6
O EN_BEDROOMS 2
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY: YES
Other described:
APPLICATION FOR WELL CONSTRUCTION
PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO
E9-ehapphca:iou 03/31/2016 16:51 Page 1 of4
gee CATAWBA COUNTY Case# RBPR-03-201 6-23537
.7.7 �G Public Health Department Subdivision
r 2 ROXBURY FIELDS
Q 1rgq Environmental Health Division PIN# 375501351758
4'tr PO Box 389, 100-A Southwest Blvd, Newton,NC 28658
/842 :„
NAME ON PERMIT: (LAVINE SCROGER), 383 N THOMAS LN, STONY POINT NC 28678
( Lavine Scroger)
Site Address: 6245 ROCKY RD, CLAREMONT NC 28610
Property Size: Square Feet Acres 0.5
Directions: Hwy 16 toward Taylorsville, Right onto Riverbend Rd, Left onto Rocky Rd, Property is on the Left.
Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An
Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well
Permits are transferrable. Permits may be revoked if the information on this application,site plans or intended use changes for the proposed facility.
I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted
right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the
proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed.
Date: Signature of Applicant or Agent
An Environmental Health Specialist will contact you within 5 working days of application date.
If you need further information or assistance please call 828-466-7291
AREA2
......................................................................................................................
P{ s ,fit" .-' rsr t C�.. 1 e 4 "i' ' iTI M PE 4 s:'r, 7 7++
ifFEENAME , 1H 1 ,t .f.A <__1. a T Z m DATE el';`, stFEE-AMOUNT_"I
Well Permit & Inspection Fee 03/31/2016 $300.00
Authorization to Construct Fee (New/Expansion) 03/31/2016 $150.00
Fee
., a(y 111 �ap r •_TOTAL FEES t`y iv Prrk .`liV " :>ii$!i is5r`ama 2.nw9 i ui " f1ES450 00 tali
._x.f:: l�:,.,i!.�i'�-s', - .u',S.a.<,. ..1:T STS-C.«..r,...a3:.,.;.n,ln. 1IEI,°;:`kti, _ 4 ii0t:?A .a,.....c.,...,x.�.�.. 3ia;`:w
FEES ARE NON-REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW HAS COMMENCED
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
E9-ehapplication 03/31/2016 16:51 Page 2 of
n 1 THIS IS NOT A PERMIT Case # RBPR-03-2016-23537
'Tv Efi
d CATAWBA COUNTY HEALTH DEPARTMENT 0:in t' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES J fr
1842 5M Residential Building Plan Review - Manufactured Home 0. o to r•AUTH CONST - NEW WELL o � d "
Applicant *CLAYTON HOMES# 81 /CMH INC(UNLICENSED), 1230 CONOVER BLVD, CONOVER NC 286
B:828-465-3450F:828-464-0261 JWHOLDER @HOTMAIL.COM
•
• Owner BOBBY SHOOK, 6245 MONFORD DR. CONOVER NC 28613
NAME TO APPEAR ON PERMIT
Bobb Shook
SITE ADDRESS: 6245 ROCKY RD, CLAREMONT NC 28610 PIN # 375501351758
NAME of SUBDIVISION: ROXBURY FIELDS Lot# 2 Section/Block
PROPERTY SIZE: Square Feet Acres _ 0.5
DIRECTIONS: x
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: 240 WATER SUPPLY: Private Well
DESCRIBE WORK: New 2016 16 x72 Singlewide 2 bedroom 2 bath single roof vinyl siding class B must have 36 ' deck on
front-must be parallel to road-vinl underpending- must sceen or remove towing tongue
SITE INFORMATION
Do any of the following apply to the property for which this application is applied?
If the answer to any of the questions below is"YES", then supporting documentation is required:
Does this site contain any jurisdictional wetlands? No
Does this site contain any existing wastewater systems? No
Is any of the wastewater going to be generated on the site other than domestic sewage? No
Is the site subject to approval by any other public agency? Yes
Are there any easements or right-of-ways on this property?
APPLICATION FOR: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: Mobile Home OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: 0 #OF OCCUPANTS: 2
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 16 x 76
#OF NEW BEDROOMS:: 2
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY: YES
Other described:
APPLICATION FOR WELL CONSTRUCTION
PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO
E9-chapplication 03/31/201616:31 Page 1 of4
Ar3,A CATAWBA COUNTY Case# RBPR-03-2016-23537
c 911cr Public Health Department Subdivision ROXBURY FIELDS
6 '` '� Environmental Health Division
; .y PRY# 375501351758
\ PO Box 389, 100-A Southwest Blvd,Newton,NC 28658
ta4
NAME ON PERMIT: (BOBBY SHOOK), 6245 MONFORD DR, CONOVER NC 28613
( Bobby Shook)
Site Address: 6245 ROCKY RD, CLAREMONT NC 28610
Property Size: Square Feet _ Acres 0.5
Directions: x
Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An
Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well
Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility.
I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted
right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the
proper identification an labelrg of II property lines and corners and making the site accessi• - so that a compl- e ste ra+alu-�;on can be performed.
Date: -016 / /1 ( Signature of Applicant or Agent sat ,A era a.
An Envi nmental Health Specialist will contact you within 5 working days of application ...
If you need further information or assistance please call 828-466-7291
AREA2
FEENAME DATE ` FEE AMOUNT
Well Permit& Inspection Fee 03/31/2016 $300.00
Authorization to Construct Fee (New/Expansion) 03/31/2016 5150.00
Fee
TOTAL FEES ' ' .,- • ' . .'' ' S450.00
FEES ARE NON-REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW HAS COMMENCED
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
E9-ehappl ication 03/31/2016 16:31 Page 2 of 4
CATAWBA THIS IS NOT A PERMIT
COUNTY ,v CATAWBA COUNTY HEALTH DEPARTMENT
J�Ue�fN •C Fi
°^h�-;. {�`^' �� Application for Environmental Services Page 1
Improvement Permit n Authorization to Const uct� Septic Repair❑ Septic Malfunction ❑
Septic Expansion ❑ New Well Permit Rep ace ent Well ❑ Well Abandonment❑
Well Repair ❑ Existing Syste Inspection (Pre-Approval Required) ❑
Application is for New Construction Existing Facility ❑
Property Address 7245 e lc , Rib "` Subdivision MA
1 -, : • Lot# J_. Acres c 5
Section/Block/Phase
Driving Directions to Property 0-w\-'l I Lj -1-0,0A EZ- Ty'r to l'wA t'I )i
NAME TO APPEAR O 4IERMIT? IK Owner ❑ Applicant ❑ Contractor
Applicant Contact Information p
V Name C ct �� mi c2 -f!— (
Address I bh CIMK� )-C-_L Ud LAD
Phone 2- -2 I'7 6)L,, Cell Phone 82 g r I -7 -31 log
Owner Contact Information v
4 Name SC ro A__ ���
Address l .j2 Rcxic Ind u
Phone N)/� Cell Phone g 2_U - 5/ ZySill;
Contractor Contact Information
Name License#
Address
Phone Cell Phone
WHO WILL BE THE PRIMARY CONTACT? ❑ Owner Applicant ❑ Contractor
Description of Existing Structures on Site \lct :6 Uj•-\••
#of Bedrooms *j' Structure imensions #of Occupa pis
Basement ❑ Yes K No Basement Fixtures ❑ Yes No
The Applicant shall notify the local health department upon submittal of this application if any of the following apply to
i the prop rty in question. If the answer to any question is "yes", applicant must attach supporting documentation.
❑ Yes To Does the site contain any jurisdictional wetlands?
❑ Yes No Does the site contain any existing wastewater systems?
❑ Yes No Is any wastewater going to be generated on the site other than domestic sewage?
NYes No Is the site subject to approval by any other public agency?
LJ Yes No Are there any easements or right or ways on this property? Describe
Existing water supply in use ❑ Individual Well ❑ Community Well ❑ Semi-Public Well
❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes No
If applying for an Improvement Permit or Authorization to Construct,Please Indicate Desired System Type(s):
(systems can be ranked in order of your preference)
❑ Accepted ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other Any
7
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cAT A R
ti 7A THIS IS NOT A PERMIT
counrYVrtM t 1 CATAWBA COUNTY HEALTH DEPARTMENT (pet ?
,.
„enc .a„7,
7 Application for Environmental Services Pag�—( °
Proposed Facility Type l !Y ��J
n Primary Residence New Residence n Addition to Residence # of New Bedrooms *t_ 1 //
Project Description i I nC 7[ 5 rl \C I •
Structure Dimensions . � of Occupants tea_
Basement n Yes MI No Basement Fixtures n Yes No
❑ Accessory Structure(s) Describe
#of New Bedrooms *t if applicable Structure Dimensions
ft of Occupants Accessory Dwelling n Yes ❑ No
Plumbing Li Yes ❑ No Describe Plumbing Needed
n Multi-Family Residence# Units #Bedrooms per Unit*j
Total # Bedrooms *j Structure Dimensions
❑ Food Service Specify Type
# Seats Floor Space-Entire Food Service Facility (Sq Ft)
# Employees per Shift # of Shifts Dining Area(Sq. Ft.)
n Business Specific Type of Business Retail Floor Space
#of Employees per Shift # of Shifts
❑ Other Facility Type Specify
If Church #of Seats Kitchen n Yes ❑ No If Daycare Specify Occupancy
Application for Well on truction/AbandonmentfRepair
Proposed Well Type Individual Well n Semi-Public Well n Community Well
Abandonment Type n Drilled n Bored ❑ Dug ❑ Unknown
Well Repair Requested n Yes n No Describe
Calculated Design Flow, Commercial t Additional information may be required to determine
design flow from certain facilities. This value will be determined during consultation with on-site staff.
*Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and
counted on all applications. The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time
of building permit issuance. This may prevent the need for septic system size increase in the future.
1- If structure is plumbed but no bedrooms, calculated design flow is required.
**If No, a well permit must be issued with the Authorization to Construct.
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE)
Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified
conditions. An Authorization to Construct issued by this department is valid for(5) five years from the date issued and is not
transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application,
site plans or intended use changes for the proposed facility.
I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state
officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I
understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site
accessible so that a complete site evaluation can be performed.
Signature of Owner or Agent Date
a131 \ LC°
Printed Name of Owner or Agent i
•
Catawba County Environmental Health
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Parcel: 375501351758, 6245 ROCKY RD 1in=50ft
CLAREMONT, 28610
This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and at damages,loss or liability,whether direct,indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
03/31/2016
Parcel Report Page 1 of 1
Parcel Report - Catawba County NC
Parcel Information: Owner Information:
Parcel ID: 375501351758 Owner: SHOOK BOBBY L
Parcel Address: 6245 ROCKY RD Owner2: SHOOK JEAN F
City: CLAREMONT, 28610 Address: 6256 MONFORD DR
LRK(REID): 402803 Address2: null
Deed Book/Page: 2859/0762 City: CONOVER
Subdivision: ROXBURY FIELDS State/Zip: NC 28613-8703
Lots/Block: 2/
Last Sale: School Information:
Plat Book/Page: 51/31 School District: COUNTY
Legal: LOT 2 PL 51-31 Elementary School: OXFORD
Middle School: RIVER BEND
Calculated Acreage: .500
High School: BUNKER HILL
Tax Map: null
Township: CLINES School Map
State Road #: null
TaxNalue Information: Tax Rates(pdf) Zoning Information:
City Tax District: All in County Zoning District: COUNTY
County Fire District: OXFORD Zoningl: R-40
Building(s) Value: $0 Zoning2:
Land Value: $9,600 Zoning3:
Assessed Total Value: $9,600 Zoning Overlay: WP-O
Year Built/Remodeled: null/null Small Area: ST STEPHENS/OXFORD
Current Tax Bill Split Zoning Districts: null/null
Zoning Agency Phone Numbers
Miscellaneous: Firm Panel Date: 2007-09-05
Building Permits for this parcel. Firm Panel #: 3710375500J
Building Details 2010 Census Block: 1002
WaterShed: WS-IV Protected Area 2010 Census Tract: 010101
Voter Precinct: P27 Agricultural District: PROXIMITY
Parcel Report Data Descriptions
List all Owners Deed History Report Assessment Report
This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure
the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent
verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be
held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use
thereof by any person or entity.
02016, Catawba County Government, North Carolina. All rights reserved.
1�7 I ��vM um A-0W 11 0
CC) \i I
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http://gis.catawbacou ntync.gov/nomap/parcel_report.php?key=375501351758&typ=P 3/31/2016
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� cAT.�wBAcounTV � 4 (y � 0 Case IMPV-04-20[6-070720
/ .: } .yl Public Health Department 7.-,740;r471—p..1: Subdivision ROXBURY FIELDS
t^.:...' e , t �3 } I'INh z
„�®. ,�,I Grviron;ncnlnl Health Division } 375501..51758
�e.eo PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 • ., a LOTH 2
• t�r
CI a ,
' I NAME ON PERMIT: LAVINE SCROGER, 383 N THOMAS LN, STONY POINT NC 28678
Site Address: 6245 ROCKY RD, CLAREMONT NC 28610
Property Size: cq,uare Feet:21,780.00 Acres:0.5
Directions: 140 East, Exit 132, LEft at 2nd light, Right onto Hwy 16 & go about 7 or 8 miles, Right onto River Bend Rd,
Left onto Rocky Rd, 1st vacant lot on the Left.
Improvement Permit
Facility: Primary Residence
Permit Category: New Septic Bedrooms 2
WATER SUPPLY: Private Well
Basement? No Basement Plumbing? No
INITIAL SYSTEM SPECIFICATIONS
Permit Valid: Expires In Five Years: _X_ No Expiration: _
Projected Daily Flow 240 g.p.d
Proposed Wastewater System: 50% REDUCTION
Type: IIIE- PPBPS GRAVITY DOSED SYSTEM
Permit Conditions:
REPAIR SYSTEM SPECIFICATIONS
Repair System Required? Required
Proposed Wastewater System: 5O% REDUCTION
Type: IIIE- PPBPS GRAVITY DOSED SYSTEM
Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper
drainage away from the septic system, including the direction of gutter flows or foundation drains,is not approved, and may result in failure to
approve the initial system installation,or the suspension/revocation of existing permits.
The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of
the applicant/property owner to insure that all Catawba County Planning/Zonino and Building inspections requirements are met.
This Improvement Permit is subject to revocation if the site plan, plat or the intended use changes,or if site conditions are altered.
The Improvement Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the
provisions of the North Carolina 'Laws and Rules for Sewage Treatment and Dlaposal Ststenu'' (I5A NCAC I8A .1900). Neither
Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function
satisfactorily for any given period of time.
Steven Price 04/01/2016
AUTHORIZED STATE AGENT APPR°VAl.DA'I'S
Permit Expiration Date: 03/31/2021
No grading or construction activi0,is allowed in areas de.signnied for vt's/ent oral repair without approval of the Health Department.
chpermi; 0a/OI/2016 08:20 Page i or3
EHPR 02-2016-23254
' 6245 ROCKY RD, CLAREMONT
• Do not cut, drive, fill, or grade over septic or repair areas.
• This permit is not intended for septic installation purposes.
• Septic system must be 10 ft from property lines; 50 ft from wells and streams; 5 ft from
building foundations and appurtenances; 10 ft from water lines; 15 ft from a cutbank; 15
ft from a basement: and out of right-of-ways and easements.
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DEPARThIENT OF HEALTH AND HUMAN SERVICES 0-1P4 r"4 O Z- ZJ(G - 2,32 5L' Sheei (_of(
tAVISION OF PUBLIC HEAL,f H.ENVIRONMENTAL.HEALTH SECTION PROPERTY ID N:
ON-SITE WATER PROTECTION BRANCH COUNTY:
SOILJSFFE EVALUATION
for ON-SITE WASTEWATER SYSTEM
(Complete all fields in full)
OWNER: 1), -L SL-..It APPLICATION DATE
ADDRESS: LILLIS 1-c-t, pA Curt-..-.y- DATE EVALUATED:
PROPOSED FACILITY: 2 6r PROPOSED DESIGN FLOW(.1949): PROPERTY SIZE:
LOCATION OF SITE: PROPERTY RECORDED:
WATER SUPPLY: ❑Private LI Public t Well ❑Spring 0 Other
EVALUATION METHOD: U Auger Boring 9 Pit ❑Cut TYPE OF WASTEWATER: ,..0 Sewage ❑Industrial Process 0 Mixed
P
rs SOIL MORPHOLOGY OTHER
0
F (.1941) PROFILE FACTORS
t .1940
L LANDSCAPE HORIZON
E
POSITION/ DEPTH ,1941 PROFILE
# SLOPE% (IN.) .1941 .1941 SOIL .1943 .1956 .1944 CLASS
STRUCTURE/ CONSISTENCE! WETNESS) SOIL SAPRO RESTR & LTAR
TEXTURE MINERALOGY COLOR DEPTH CLASS HORIZ
0 -t Z, LJS& SLL Flt- Se M - /5
LS
n/A „JAI� J
I
Z
3t- N "56 U- SU _fit sc
6 -tf ''S6L. SC- (cG .Si- ✓. Nq PJ
LS t( - 2Z Abk- c 1=£ 1E A/ S
2 ,.z-3i "AgL cC 4,,,, f F se O•3
3`1-9( "Sate CL / F4 Se
b-8 S6t ice /=Z SC /J/ �S
FS 6- Zy S6L c sr - S� NA MI. D �s
3 J� 2Y 38 k r/ Se F '/y °` 5
3,q- ja "'rttc ce E k
D- (, 'la L s« sg• Nl,, PS
1,- (G) ...5:6c c FL _3(' _Sb Nf!. t✓A
4 6Z'-
S->� !v 34 �� c Fi _SE � Y�l, w.&
37-SD "-'t51- L F/SC
DESCRIPTION INrr1Al-sYSTEM REPAIRSYSTEM OTHER FACTORS T1946):
(. / SIZE CLASSIFICATION(.1948): PS
Available Space 194 (5
System Type(s) ;_912GL IQ Sbr 4.,1 EVALUATED BY: 5 ..� �-�
OTHER(S)PRESENT:__
Site LTAR V. Z- O, Z3
COMMENTS:
LEGEND 02 — aoiG•— zszr
use the following standard abbreviations
I
SOIL CONvENTIONAI. LPP Ia1LNERA LOGY/
LANDSCAPE POSITION GROUP TEXTURE .1955 LTAR' .1957[TAR" CONSISTENCE STRUCTURE
CC(Concave Slope) I S(Sand) 1.2•0.8 0.6-0.4 SEXP(Slightly Expansive) G(Single Grain)
CV(Convex Slope) LS(Loamy Sand) EXP(Expansive) M(Massive)
D(Drainage Way) CR(Crumb)
DS(Debris Slump) II SL(Sandy Loam) 0.8-0 6 0.4-0.3 GR(Granular)
FP(Flood Plain) L(Loans) SBK(Subangular Blocky)
FS(Fool Slope) ABK(Angular Blocky)
II(Head Slope) III Si(Silt) 0.6.0.3 0.3-0.15 PI.(Platy)
L(Linear Slope) SiCL(Silty Clay Loam) PR(Prismatic)
N(Nose Slope) CL(Clay Loans)
R(Ridge) SCI.(Sandy Clay Loam) RIOISr %VET
S(Shoulder Slope) Sit-(Silt I.nam)
T(Terrace) VPA(Very Friable) NS(Nomsticky)
IV SC(Sandy Clay) 0.4-0.1 0.2•11.05 FR(Enable) SS(SIig sJv Sticky)
SiC(Silty Clay) F;(Finn) S(Sticky)
C(Clay) VFI(Very Finn v.Very Sticky) VS(Very Sticky)
0(Organic) None None EF1(Extremely Firm) NP(Non-plastic)
SP(Slightly Plastic)
*Adjust I.TAR due 10 depth,consistence,structure,soil wetness,landscape.position wastewater Ilow and quality. P(Plastic)
NOTES vP(Nervy Plastic)
HORIZON DEPT// In inches below natural and surface
DEPTH OF FILL in inches from land surface
RESTRICTIVEIIORIZON 'thickness and depth from land surface
SAPROI.ITE S(suiuihlc)or U(unsuitahie)
SOIL WETNESS Inches from land surface to free water or inches from land surface t0 soil colors with chroma 2 ur less-record Mansell color chip designation
CLASSIFICATION S(Suitable),PS(Provisionally Suitable),or U(Unsuitable)
Evaluation of saprolite shall be by pits.
Long-tern Acceptance Rate(LIAR):gal/day/ft'
Show profile locations and other site features(dimensions,reference or benchmark,and N'onh)_
rcA
IAW
pc", 2
3 „J y.-'.7
'1J- -N`ty
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