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HomeMy WebLinkAboutRBPR-04-2016-23612.TIF THIS IS NOT A PERMIT Case # RBPR-04-2016-23612 iniirlq CATAWBA COUNTY HEALTH DEPARTMENT 0 - ' oe • PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES \842 sM Residential Building Plan Review - Building New . ; o csito 1i • AUTH_CONST- NE _WELL .-d• o 0 I. ' ! ILIIwa �1z 0 . Applicant *KEVIN D. & SHANNON L. FULLER, 1322 THURBER LN, NEWTON NC 28658 C:8282347714 Contractor SAME AS OWNER, , Owner *KEVIN D. & SHANNON L. FULLER, 1322 THURBER LN,NEWTON NC 28658 C:8282347714 NAME TO APPEAR ON PERMIT *Kevin D. & Shannon L. Fuller SITE ADDRESS: 1322 THURBER LN,NEWTON NC 28658 PIN # 372012953881 NAME of SUBDIVISION: AVIAN WOODS PH 3 Lot# 40 Section/Block PROPERTY SIZE: Square Feet Acres 1.721 DIRECTIONS: Startown Rd, South from HWY 70 to left on Milton ST veer left on Milton and take a left on Thurber. Lot is on the right PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: 2 story single family dwelling 4 bedrooms with attached garage and finished basement 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: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: vacant lot NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 65x78 #OF NEW BEDROOMS:: 4 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE: ANY'. Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO F9-chapplication 04/14/2016 10:36 Page 1 of 4 A CATAWBA COUNTY case# RBPR-04-2016-23612 (T jjlik i Public Health Department Subdivision AVIAN WOODS PH 3 Q rev ^e Environmental Health Division PIN# 372012953881 \f'.„1.,‘..1),. ' PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 1842 # NAME ON PERMIT: ( *KEVIN D. & SHANNON L. FULLER), 1322 THURBER LN,NEWTON NC 28658 ( *Kevin D. & Shannon L. Fuller) Site Address: 1322 THURBER LN,NEWTON NC 28658 Property Size: Square Feet Acres 1.721 Directions: Startown Rd, South from HWY 70 to left on Milton ST veer left on Milton and take a left on Thurber. Lot is on the right 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 rl`iI I 'Y ' lt ! ��l 'I ! I t FEENAME pll iiWJn-dIIIEIi 6I . IlIDATEI � I FEE AMOUNT Authorization to Construct Fee (New/Expansion) 04/08/2016 $300.00 Fee Well Permit& Inspection Fee 04/08/2016 $300.00 T' "II lG;lllI i�T9I8, 'FEES ItiIl IIlIIIlIIIIIIl9ld'rI"' . aiIIIIIlIllllill{IIIIIIIIl& "41111111111111IR, 1r�1111IIIIrs600 oo LIIII tilt l' ttiiiill$1I4131WIIIII1111IIMWlliltlillO v _Uhu wt iulP.IIINIultll11tl11lIIIlIv3ilta Pitmigatu_. aiitu7!111d. .-il]Illl: 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) 15-ehapplicaiion 04/14/2016 10:36 Page 2 of4 G THIS IS NOT A PERMIT Case # RBPR-04-2016-23612 d ,-t o ' CATAWBA COUNTY HEALTH DEPARTMENT !; • ti . 0 t PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES n. ' .. 4,7 /842 sM Residential Building Plan Review - Building New .s• o+ I.•:o� • AUTH CONST - NEW WELL 0 Ali Applicant *KEVIN D. & SHANNON L. FULLER, 1322 THURBER LN, NEWTON NC 28658 C:8282347714 Contractor SAME AS OWNER, . Owner *KEVIN D. & SHANNON L. FULLER, 1322 THURBER LN, NEWTON NC 28658 C:8282347714 NAME TO APPEAR ON PERMIT *Kevin D. & Shannon L. Fuller SITE ADDRESS: 1322 THURBER LN, NEWTON NC 28658 PIN # 372012953881 NAME of SUBDIVISION: AVIAN WOODS PH 3 Lot# 40 Section/Block PROPERTY SIZE: Square Feet Acres 0.81 DIRECTIONS: Startown Rd, South from HWY 70 to left on Milton ST veer left on Milton and take a left on Thurber. Lot is on the right PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: 2 story single family dwelling 4 bedrooms with attached garage and finished basement 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: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: vacant lot NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 4 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 65x78 #OF NEW BEDROOMS:: 4 BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED? Desired system types(Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: YES OTHER: INNOVATIVE: ANY: Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: Individual Well REPLACE WELL?: NO E9-chapplication 04/08/2016 12:42 Page 1 of 4 ,A CATAWBA COUNTY Case# RBPR-04-2016-23612 Fy I; @ ,. Public Health Department Subdivision AVIAN WOODS PH 3 Q R Environmental Health Division PIN# \n'®=K 372012953881 \'+1` PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 !842 NAME ON PERMIT: ( *KEVIN D. & SHANNON L. FULLER), 1322 THURBER LN,NEWTON NC 28658 ( *Kevin a & Shannon L. Fuller) Site Address: 1322 THURBER LN, NEWTON NC 28658 Property Size: Square Feet Acres 0.81 Directions: Startown Rd, South from HWY 70 to left on Milton ST veer left on Milton and take a left on Thurber. Lot is on the right 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 la eling of all property lines and corners and making the site accessi.l- so tit - .omplete site evaluation can be performed. 1 l Date: L�I k I V Signature of Applicant or Agent A a An Environmental Health Specialist will contact you within 5 work g says of application date. If you need further information or assistance please call :_:-466-7291 AREA2 . FEENAME ' DATE FEE AMOUNT Authorization to Construct Fee (New/Expansion) 04/08/2016 5300.00 Fee Well Permit& Inspection Fee 04/08/2016 5300.00 TOTAL FEES $600:00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehappl ieanon 04/08/2016 12:42 Page 2 of 4 CATAwB e THIS IS NOT A PERMIT couor 1L7► CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Seryices Page 1 (r' mB _ O4- D h- a3(0la Improvement Permit❑ Authorization to Construct ❑ Septic Repair n Septic Malfunction ❑ Septic Expansion L New Well Permit$Replacement Well ❑ Well Abandonment❑ Well Repair n Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction S Existing Facility n • Property Address 1322 Thurber Lane Subdivision Avian Woods Newton, NC 28658 Lot# 39 Acres 1.7 Section/Block/Phase Driving Directions to Property Startown Rd.south from Hwy 70 to left on Milton St. Veer left on Milton and take a left on Thurber. Lot is on the right NAME TO APPEAR ON PERMIT? ❑ Owner ❑ Applicant Contractor Applicant Contact Information Name Address Phone Cell Phone Owner Contact Information NameKevin and Shannon Fuller Address1322 Thurber Lane Newton NC 28658 Phone Cell Phone828-234-7714 Contractor Contact Information Name Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? -*Owner ❑ Applicant ❑ Contractor Description of Existing Structures on Site # of Bedrooms *t Structure Dimensions #of Occupants Basement n Yes ❑ 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 the property in question. If the answer to any question is "yes", applicant must attach supporting documentation. O Yes o Does the site contain any jurisdictional wetlands'? O Yes No Does the site contain any existing wastewater systems? !Dyes • No Is any wastewater going to be generated on the site other than domestic sewage? Yes 0 No Is the site subject to approval by any other public agency? O Yes No Are there any easements or right of ways on this property? Describe Existing water supply in use ❑ Individual Well n Community Well n Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes XNo 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 8 Conventional ❑ Innovative ❑ Other ❑ Any CATAWBA THIS IS NOT A PERMIT COUNT\ CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence #of New Bedrooms *j 4 Project Description Single Family Dwelling Structure Dimensions 65x78 # of Occupants 4 Basement ❑ Yes ❑ No Basement Fixtures , Yes ® No ❑ Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ 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.) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church# of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ 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. j' 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 1je&Y'U Date q/ / ;L Printed Name of Owner or Agent IP E4P&-o3- oI(,-)3L►I9 1322Tvrkr IA, 00 t% 111;1'5, rfr 1+ is not -cot 1(4411cc y NilOr>e`i. 4' Lk „s+ 6t. Cthb;ned 1 '\W 1-k, issue,rut 4 AC Fer0414- 3' w NA- ■rWtJ 0.4.0, 0A, 01 oV2 v p/tA roee( line oe. /remo4ea 65, 35. R. Sepfio B, Tr Inikj.4 )55°Red N it Sob Red• Pt°poseS, `a 151 y eiedroon• 130. House, 6s x%5-i ndudcs Dusky, dicks loo' • �. 8s I .51. n 79. .y7 Roltil t arts 1�51. 48, �`• 1' (-)f 5°-• F(iu' \I' na� —(hwkr L. • Catawba County Environmental Health to `�,4\ ctat c. ¢.. 47 79.56 4g co t0 . ii i rn 40 :116 �/tic;i�. Sys 5. ' O .1111111111, . co co , 0 301 1 — — ^i' ti a: 3 g7 40 /// , Parcel: 372012953881 , 1322 THURBER LN 1in=60ft NEWTON, 28658 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. Copyright 2014 Catawba County NC 04/08/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 372012953881 Owner: GAITHER JAMES COMER Parcel Address: 1322 THURBER LN Owner2: GAITHER RACHEL COLE City: NEWTON, 28658 Address: 2352 MILTON ST LRK(REID): 903069 Address2: null Deed Book/Page: 2330/0783 City: NEWTON Subdivision: AVIAN WOODS PH 3 State/Zip: NC 28658-9471 Lots/Block: 40/ null Last Sale: School Information: School District: COUNTY Plat Book/Page: 54/133 Legal: LOT 40 40 PL54-133 AVIAN WOODS PL Elementary School: STARTOWN Middle School: MAIDEN 54-133 Calculated Acreage: .810 High School: MAIDEN Tax Map: null School Map Township: NEWTON State Road it null TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: NEWTON RURAL Zoning1: R-20 Building(s) Value: $0 Zoning2: null Land Value: $35,800 Zoning3: null Assessed Total Value: $35,800 Zoning Overlay: null Year Built/Remodeled: null/null Small Area: STARTOWN 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 ft: 3710372000J Building Details 2010 Census Block: 2002 WaterShed: null 2010 Census Tract: 011701 Voter Precinct: P34 Agricultural District: 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. ©.2016, Catawba County Government, North Carolina. All rights reserved. Cpl ft 00 LI kJ) IV qc , Li.. .1 . oiem <<��i� It 5c\ it • : http://gis.catawbacountync.gov/nomap/parcel_report.php?key=372012953881&typ=P 4/8/2016 CATAtt'BA COUNTY p p Case IMPV-04-2016-070814 V� �r..��.f`' Est Public Health Depannien; 4'y �}�� Subdivision Avian Woods PH 3 (� �� � 3Ct . .9+�y.-c Environmental Health Division r a+ r } I'Nfl 372012953881 ` PO Box 389, 100-A Southwest Blvd.Newton. NC 28658 r'� - ,{� I..CYI'# 39 8, 40 /84 r! 1`,�.�ti 7 . uai t. 0IM NAME ON PERMIT: KEVIN FULLER, 1300 HARPER LEE DR, NEWTON NC 28658 Site Address: 1322 THURBER LN, NEWTON NC 28658 Property Size: Square Feet: 74,923.20 Acres:1.72 Directions: Startown Rd, left on Milton St, left on Thurber Ln, lots on right at end of cul-de-sac Improvement Permit Facility: Primary Residence - house Permit Category: New Septic Bedrooms 4 WATER SUPPLY: Private Well Basement? Yes Basement Plumbing? Yes INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years: _X_ No Expiration: Projected Daily Flow 480 g.p.d Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON-CONY TRENCH SYSTEMS PUMP *MAY 13E* REQUIRED Permit Conditions: REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 59% REDUCTION • Type: IVA-ANY SYSTEM 4VITI-I LPP DISTRIBUTION PUMP REQUIRED ***** OPERATOR REQUIRED 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:o 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 pernits. It is the responsibility el- :he applicanUproperty owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements arc 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 fin Sewnke Treatment and Disposal Systems' (I5A NCAC ISA .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. Mogen McBride 04/05/2016 AUTHORIZED STATE AGENT APPROVAL DATE 04/05/2021 Permit Expiration Date: No grading or constractlon activity is allowed in areas(designated far Srslem and repair without approval of//re Health Department. ehperntit 04/05/2016 09:1 l Page 1 of 3 IF EUPk-o3-soI -)3'11 9 1322-linvi r N1C441Dh Ih�s fertA4 IS ■04- -{oi 1 ekSiakk atm pQ'PoSes. LD mus-{- 6c_ Cornb;ned 'rw 1 ISSvo ntt of AL fier4 14- t0 11O* a,r;vtr off,Jtr { W T' tk O'$ � fi� atm. b5' 35' 10' 0 I s- o. $¢�1L 9• 49. Area kcal )51.Red I Rea. e 1� proposeA 15. ` eiedroc" 110' Haysc 65x$5-i(ado yAnt, AtckS 100' be d • .qS Q°wit nan • 1151 to 1 I DEPARTMFNI OF ENVIRONMENT AND NATURAL RESOURCES Shed_of_ DIVISION OF ENVIRONMENTAL HEALTH PROPERTY ID It. ON-SITE WASTEWATER SECTION COUNTY: SOIL/SITE EVALUATION Applrm. for ON-SITE WASTEWATER SV "'ED? Ca keI)irFOHHrr' APPLICATION DATE 3 n lb ��IPR 03-2ofL-234i� ADDRESS.• DATE EVALUATED: ;SPAN, PROPOSED FACILITY: q 6,--44DJ)fi PROPQSED DESIGN FLOW(.1949): V&O • PROPERTY SDf: 1.7)ants LOCATION OF 5111~ 1472-i1104 ber1-n4 Net-,-fowl PROPERTY RECORDED: WATER SUPPLY: 51 Privetc ❑ Public 0] Well 0 Sprng 0 Other EVALUATION METHOD: D Auger Baring is Pit D Cut E OF WASTEWATER: d ress Mixed•T1R � S .aural Pco (] •'IV-!,__ _'::::: ill In �_ ::;;... . — --_ - e- - t. _ Sti htOBP'$btObL :Vini a ' - I -0;; _ A 1ROFil'EFACTOR S 1 f Tf1j _ 29.9.1,:,,,] t u4 . S D ' V IiA.I. ,19t . . ,a,ta p4 -1 4 - soiL T v s 1 :95 d9 ! x k SOAP Y.0N UO+U YT t sl .er x v q- sow S . $s itsr¢o:To! pra rni t 'ROS, , 7 - 17EET$ r1Ass f3� 1� :i Li,iRif ) T U U ix, ... - ..... - L 0-IR Iw;ywsl.-Till n,..1 std 4ifit JS-Hr) S 'K ft- • ft-Ac,sor . PS 1 151a Lit? D 35 I I J D'39 .WS Y S(. . ., .. I .-fr,S5, SexP 1 7;1-`P- SAY fr:SS. S �2 — _ f . 0.35 • 0-3? Foslple- 5(c- • I -cr.i5 SCxp • 3>.q5 v45bk SC1 ASAP (r.S�sc*p 3 _ • 1j5 0,"55 1 . • 4 • 1 DESCRIPITOx INITIAL SYSTEM RRP.A➢t.SYSTEM OTTER FACTORS(.1946): Atzihle Scars GPM) PS O� SITE CLASSIFICATION(.t9<8)(:y,, Q `- Tpr(s) rJ EVALUATED BY: MPF\Ph I Il!}� \ OlHhR(S)PRESENT: li . . Silt LTAR P.35 \ 0.35 , . COM MSL CS: pWApMaJ k ft2961gi I f{I 7,11,0 ie -t' RQ Az • QroPI� f ' 1 / (NON -iv 41e_)