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HomeMy WebLinkAboutIMPV-11-2023-208961.tif 1 Permit#: ri,-Il-y -tog 96t 1 '`' '-,,, ROY COOPER•Governor f,'' ^ 'clA NC DEPARTMENT OF KODY H.KINSLEY•Secretary "'' ,- 'hr' HEALTH AND i,v; -''- HUMAN SERVICES MARK BENTON•Deputy Secretary for Health •.>> SUSAN KANSAGRA•Assistant Secretary for Public Health Division of Public Health Submittal Includes: (a2)Improvement Permit (a2)Construction Authorization ❑Fee$ IMPROVEMENT PERMIT FOR G.S.130A-335(a2) County:CO Vt o IoGt. PIN/Lot Identifier:, 4(L 01554`19 Issued To: ski,- Lau, Property Location: 515 S. ' Ave 03 a$c c- Subdivision(if applicable) Lot#: Block: Section: LSS Report Provided: Yes 9No 0 If yes,name and license number of tSS: -nijQX ohlty 26r1. S it 18. New Ery Expansion ❑ System Relocation.,k\A` ❑ Change of Use 0 C@ Proposed Structure: $\ Number of bedrooms: 4 Number of Occupants: SI Other: Design Wastewater Strength:12'8Zmestic ❑high strength 0 industrial process Proposed Design Daily Flow: 4' GPO Proposed LiAR(Initial):0•s- �se ( ) Proposed LTAR(Repair):0 i aab Proposed Wastewater System Type*: f\C I-CA (Initial) Pump Required: es Proposed Wastewater System Type*: A � CI NO El May be required ea (Repair) Pump Required: ErV—es ❑No ❑May be required *Please Include system classification for proposed wastewater system types In accordance with 15A NCAC 18A.1961 Table V(a) Saprolite System(initial):D Yes 0-No Saprolite System(repair):❑Yes 12-No Fill System(Initial):❑Yes giqo if yes,specify:0 New 0 Existing (when adding more than 6 inches of fill to system area provide a fill plan) Fill System(repair):D Yes Ericilf yes,specify:❑New ❑Existing (when adding more than 6 inches of fill to system area provide a fill plan) Usable Soil Depth(Initial): LrE, Usable Soli Depth(Repair): 0 Max.Trench Depth(Initial)': Max.Trench Depth(Repair):: A'o =Measured on the downh!!l side of the trench Artificial Drainage Required: ❑Yes O'1vb If yes,please specify details: Type of Water Supply:Q P'rivate well 0 Public well ❑Shared well ❑Municipal Supply ❑Spring 0 Other: Dralnfleld location meets requirements of Rule.1945: Yes[" No❑ Drainfleld location meets requirements of Rule.1950: Yes❑----No 0 Permit valid for:g<ie years[site plan submitted pursuant to GS 130A-334(13a)] 0 No expiration[plat submitted pursuant to GS 130A-334(7a)) Permit conditions: _.e 612s`i, % Licensed Soil Scientist Print Name:‘ "f p� ��l D,, fU`,�L Licensed Soil Scientist Signature: ,._._. „VjJ/7 y/ ) a f /® -f'� Date: /°� �.} The'SS evaluation Is being submitted pursuant to and meets the requirements of G.S.130A-335(a2). *See attached site sketch* NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF PUBLIC HEALTH LOCATION:5805 Six Forks Road,Building 3,Raleigh,NC 27609 MAJuNG ADDRESS:1832 Mall Service Center,Raleigh,NC 27699-1632 www.ncdhha.00v • TEL•919-707-5854 • FAX.91g-R45-4479 Permit#: IMPV-11-2023-208961 515 8th Ave, Maiden This Section for Local Health Department Use Only Initial submittal received: 11/13/2023 by RP Date initials G.S. 130A-335(a3)states the following: When an applicant for an Improvement Permit submits to a local health department an improvement Permit application,the permit fee charged by the local health department,the common form developed by the Department,and a soil evaluation pursuant to subsection(a2)of this section,the local health department shall, within five business days of receiving the application,conduct a completeness review of the submittal.A determination of completeness means that the Improvement Permit includes all of the required components.if the local health deportment determines that the Improvement Permit is incomplete,the local health department shall notify the applicant of the components needed to complete the Improvement Permit.The applicant may submit additional information to the local health department to cure the deficiencies in the improvement Permit.The local health department shall make a final determination as to whether the Improvement Permit is complete within five business days after the local health department receives the additional information from the applicant.If the local health department fails to act within any period set out in this subsection,the applicant may treat the failure to act as a determination of completeness.The Department shall develop a common form for use as the improvement Permit. The review for completeness of this Improvement Permit was conducted in accordance with G.S. 130A-335(a3). This Improvement Permit is determined to be: ❑Incomplete(If box is checked, information in this section is required.) The following items are missing: Copies of this were sent to the LSS and the Applicant on Date State Authorized Agent: Date: Complete � State Authorized Agent: i�'='4 ' Date: 11/27/2023 This Improvement Permit is issued pursuant to G.S. 130A-335(a2)and(a3)using the signed and sealed LSS/LG evaluation(s) attached here. The issuance of this permit by the Health Department in no way guarantees the issuance of other permits.The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements.This permit is subject to revocation if the site plan, plat,or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. The Department,the Department's authorized agents,and the local health departments shall be discharged and released from any liabilities,duties,and responsibilities imposed by statute or in common law from any claim arising out of or attributed to evaluations,submittals,or actions from a licensed soil scientist or licensed geologist pursuant to GS 130A-335(a2). Improvement Permit Expiration Date: 11/27/2028 *See attached site sketch* G.S. 130A-335(a2)Common Form 2 V.2023.07 SOIL & FfRES1RY SERVICES OF THE C:AROLINAS, PA www.soilandforestryservices.com Project#:23-0114 September 25`h,2023 Dustin Lawing Attn: Dustin Lowing Email:dustinlawing@gmail.com RE: Soil&Site Evaluation for a 4 Bedroom Residence at 515 S.8th Avenue,8.977 ac Parcel, PID#364610355479, Maiden, NC 28650,Catawba County, NC. Dustin: At your request Soil &Forestry Services of the Carolinas(S&FS) has performed soil/site evaluations on parcel noted above. The Lot size is noted on the attached survey map&soil evaluation form.The purpose of our work was to identify soil areas with potential to support subsurface wastewater disposal systems and provide design details for Session Law submittals to Catawba County Health Department. Site Conditions At the time of our evaluation land cover on the property was mostly wooded on the property except the cleared area for house and primary septic field.Topography within the evaluated area was gentle slope near the house site with gentle percentage of slope in the proposed drainfield area. Property lines and corners were marked at the time of the evaluation by Helton Surveying&Mapping, PLLC. The Surveyor provided an Autocad File of the survey as a basemap. The proposed septic layout was located via GPS& tape measure which was used to produce the attached Site Plan.The house envelope/pool was pinned in the field by the owner. Methodology We evaluated soil areas through the use of auger borings& backhoe pits(previously dug). Soil morphological conditions including color,texture, structure, etc.were reviewed in the field with four boring locations and 5 backhoe pits on the property.They were flagged and located via GPS. All of the auger borings and 4 of the backhoe pits are located in the proposed septic areas.Soil suitability was determined by referencing 15A NCAC 18A.1900"Laws and Rules for Sewage Treatment and Disposal Systems". Soil&Site Evaluation Forms were utilized to record the soil morphological data for each boring.The house envelope was located via GPS.An on-ground layout of system and repair was performed using a laser level. Pin flag locations of the layout were also located by GPS and tape measure. Detailed system&repair information is summarized in the following paragraph for this Lot. 515 S.8th Avenue- PID#364610355479(See Attached Design) The septic layout for this lot(9'centers)yielded a total of 543 linear feet of line.The primary system is proposed as 500 linear feet of Accepted (20%Reduction)drainfield with pressure manifold distribution. Trench depth(Low Side) is specified at 30 inches.The repair system is proposed as 534 linear feet of Accepted (20% Reduction) drainfield with pressure manifold distribution. Trench depth (Low Side) is specified at 20 inches.An on-ground layout of the repair field was not performed.There is 20,000 SF of suitable area designated for the Repair.This is more than sufficient available space for the system specified. Field contours will be established upon installation of repair. Session Law Requirements All information needed to issue the IP must be submitted with the application.The application shall include all information described in 1SA NCAC 18A.1937(d)and be accompanied by a signed and dated statement from the applicant (owner or owner's legal representative)that reads as follows: "The LSS/LG evaluation(s)attached to this application is to be used to issue an Improvement Permit in accordance with G.S. 130A-335(a2)and(a3)." Owner 1 / Date Print Name , JUST.1 G-6;G� 1 t'J ie Signature r l)(r J-fir...— 1 I- 13 - 2-3 The LSS evaluation shall include a statement bearing the LSS seal and signature that reads as follows: "The LSS evaluation is being submitted pursuant to and meets the requirements of G.S. 130A- 335(a2)." Disclaimer This report reflects the findings of S&FS, PA. This LSS evaluation is being submitted pursuant to and meets the requirements of G.S. 130A-335(a2)."Any site modifications that impact the proposed septic areas on the site may nullify this design for 515 S. 8th Avenue-PID#364610355479.System design requirements and site requirements shall be adhered to for installation and Operations Permits to be issued by the local Health Department. If you have questions regarding these requirements a Pre- Construction meeting should be scheduled to discuss.Please contact S&FS if you have any questions regarding this report or the - ir:*Y"r37A, - ion. S&FS also offers septic system inspection, wetland . delineation and forest - lcesS 0 I L sc c, B A R f< O� Sincerely, CAL 4J` .,,,,iAif, r ciy 2A VI Vs....:. i: riot- <z- 12 31 , vl S.Ashley Rollans, LSS �'A" �,P�`� Attachment: Septic Desi. N•u • - or Local Health Department/NCDHHS I understand that the documentation and fees,as required in G.S. 130A-335(a2), (a3),(a5), and (a6), attached to this application are to be used to issue an Improvement Permit and/or Construction Authorization pursuant to G.S. 130A-335(a2),(a3),and (a5). I understand that authorized county and state officials are granted right of entry to the property indicated on this application to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that if the information in the application for an Improvements Permit and/or Construction Authorization is falsified,changed,or the site is altered,then the Improvement Permit and Construction Authorization shall become invalid. Applicant Si T)GI'Ll--. Date: ) 1- 13 2-3pp gnature: NV Owner's Signature: � �`. Date: 11 - /3 - 23 Vir FURESTRY RE VUUE III ffif 1 .11!I if If / A F'.1 www.soilandforestryservices.com Attached is a proposed design for an Accepted (25% reduction)Septic System with Pressure Manifold distribution for a 4 bedroom single family residence at 515 S.8th Avenue, Maiden,28650 Catawba County,NC.PILO(364610355479). Contents: Page Information for the Installer 1 Design Information Design Specifications 2_3 Layout Specifications • 4 System Tapsheet 5 Pressure Manifold Diagram 6 Site Plan/System Plan 7 Calculations 42��__s.o1,�__�C 8 Profile Descriptions -� - �"A. ROE- �'k 9 •Srnt�rt �9 ApplicationT.-='- --- - ,.. , 4y, • lent provided r IP Form ---- 4`. - ' , . 10 CA Form !.'• A.-- F P Ov 11 ri,' NORTH C September 25,2023 Project No.23-0114 Design By: Soil&Forestry Services of the Carolinas,PA I J 1 INFORMATION FOR THE INSTALLER: - The permit should be read very carefully prior to bidding. The following are details that must be considered along with all other considerations. - Tanks shall be approved by DHHS, and certification supplied by the manufacturer. - Tanks shall be water tested prior to installation. - The installer shall be responsible to the owner for placement of the tanks and to insure that final grades are returned to the original natural grade, with exception of added structural features. - The supply trench shall be compacted to eliminate cavities left during initial fill placement. - Installation of the system shall be during dry conditions in order to protect the soil structure. - All fittings shall be pressure rated fittings. - All joints shall be cleaned with PVC pipe cleaner and a heavy bodied glue applied to weld all joints. - Trenches shall be carefully excavated so the bottom is within 2" from the highest to . the lowest points of elevation within the trench. If the bottom elevation needs adjusting after it has been trenched, it will be done by removing high points rather than filling low points. It is extremely important to insure that trenches are not over excavated during initial trenching. All fine grading within the trench will be hand done with a shovel. No loose material will be left in the trench - All pipe openings in the tanks shall be properly grouted. This also applies to the joints around the riser. - All tanks shall be properly back filled and compacted to prevent slump at a later date. - Earth dams, constructed of relatively impervious material, shall be installed at the beginning and end of each lateral. - No heavy equipment shall be used on the field during or after installation. The use of a small loader(i.e. Bobcat)or a trencher(i.e. Ditch Witch 2300/2310) may be used for installation. - Elevations at pinflag locations should be checked by the installer prior to beginning trenches. Pumptank riser should be 6" above grade, control panel should be 12"above grade. - Septic tank riser shall be a minimum of 6" above finished grade. - System is specified as an Accepted 25%reduction installation w/Pressure Manifold. - Repair is specified as an Accepted 28%reduction installation with Pressure Manifold. - Rake trench walls, lime sidewalls, install trenches 36" wide and have no more than 1/4" fall in 10 feet. 2 PRESSURE MANIFOLD SYSTEM FOR WASTEWATER TREATMENT Owner/Applicant: Dustin Lawing Address: 515 S.8th Avenue Maiden,NC 28650 Phone: 828.217.3525 County: Catawba Location: see above Source of Wastewater Flow: 4Bedroom Single Family Residence Estimated Daily Wastewater Production: 480 gpd System Flow: 22.69 Design Specifications Drainfield Size: 500 Loading Rate: 0.25 Depth of Gravel in Trench: NA(25% reduction ) Gravel Size: NA(25% reduction ) Trench Depth (low side): 30 in. Repair Trench Depth 20 in. Trench Width: 36 in. Septic Tank Size: 1000 Pump Tank Size: 1000 Estimated Supply Line Length: 134 Supply Line Diameter: 2 in. SCH 40 PVC Supply Line Volume: 23.32 Dosing Volume: 228.55 Supply Manifold: 4 in. SCH 80 PVC Supply Manifold Length: 4 ft. (minimum) Supply Manifold Volume: N/A Recommended Float Controls: SJE Sensor Float Control Switches as Required for Control Panel or County Approved Equivalents Recommended Control Panel: SJE-Rhombus Model 112 (NEMA 4x) Control Panel or County Approved Control Panel. Pressure Head: 2 ft. Friction Head: 2.39 Elevation Head: 10.10 Total Dynamic Head: 16.66 Threaded Union: In Tank Gate Valves: 1 in Tank 1 at Pressure Manifold Check Valves: In Tank Anti-Siphon Hole: NA Additional Comments: Soil suitability was performed by Soil& Forestry Services of the Carolinas, PA. 3 515 S. 8th Avenue PRESSURE MANIFOLD DESIGN DESIGN FLOW: 480 SOIL APPLICATION RATE: 0.25 TOTAL AREA TRENCH BOTTOM: 1500 TOTAL LATERAL LENGTH: 500 NUMBER OF FIELDS: 1 LATERAL LENGTH REQUIRED PER FIELD: 480 SUPPLY LINE LENGTH: 134 TOTAL DYNAMIC HEAD: 16.66 MANIFOLD SIZE: 4 in.SCH 80 PVC DOSING VOLUME: 228.55 PUMP TANK DRAW DOWN*: 10.9 SEPTIC TANK SIZE: 1000 PUMP TANK SIZE: 1000 "Pump tank draw down based on a volume basis of 21 gallons per inch. Draw down may vary among pump tank manufacturers. 4 Layout Specifications-515 S. 8th Avenue Project#:23-0114 LAYOUT FOR 4 BEDROOM HOME September 25,2023 FLAG FLAGGED DESIGN LINE# COLOR BS HI FS ELEVATION LINE LENGTH LINE LENGTH TBM (TOG@OAK) 2.90 102.9 100.00 HOUSE (left rear) 6.70 96.20 PUMP TANK 8.00 94.90 INSTR. 1 1 YELLOW 3.70 99.20 70 70 2 BLUE 4.00 98.90 73 70 3 PINK 4.40 98.50 79 70 4 RED 4.80 98.10 86 82 S ORANGE 5.20 97.70 87 82 6 YELLOW 5.70 97.20 53 42 7 BLUE 6.20 96.70 48 42 8 PINK 6.80 96.10 47 42 Total 543 500 SOIL LOW SIDE LINE LIAR SYSTEM LTAR TRENCH TRENCH LENGTH GPD/FT2 TYPE GPD/FT2 SYSTEM DISTRIBUTION DEPTH *System 500 0.250 ACCEPT. 0.250 25%RED PRESSURE 30" MANIFOLD Repair 534 0.225 ACCEPT. 0.225 25%RED PRESSURE 20" MANIFOLD Notes: **All measures in feet **Nitrification lines are demonstrated on contour via colored pin flags **Nitrification lines,pits,borings,house and pool were located by GPS. I 5 PRESSURE MANIFOLD TAPSHEET-515 S. 8TH AVENUE SYSTEM Line# Color Elevation j,enetl* bole Size Flow/Tan Trench Ares Une LIAR 1 YELLOW 99.20 70 CONNECTED 2 BLUE 98.90 70 CONNECTED 3 PINK 98.50 70 CONNECTED TOTAL LINES 1-2 98.50 210 SCH 80 3/4 10.1 630 0.18 4 RED 98.10 82 CONNECTED 5 ORANGE 97.70 82 CONNECTED TOTAL LINES 4-S 97.70 164 SCH 40 1/2 7.11 492 0.15 6 YELLOW 97.20 42 CONNECTED 7 BLUE 96.70 42 CONNECTED 8 PINK 96.10 ¢2 CONNECTED TOTAL LINES 6-8 97.20 126 SCH 801/2 5.48 378 0.15 total feet = 500 gal/min= 22.69 Des.Flow 480 Pump Run= 10.07 soil LTAR 0.25 LTAR+5% 0.2625 LTAR with ACCEPTED 0.333333333 LTAR with ACCEPTED+5% 0.35 , N .` W 0 N) O O� I /Lr V. i , Ar u• • 'WS J. 'ee '33. ,'T 8.97'7 ACRES RECOMBINED SCALE 8 ;4♦'2 le, (; ;K..>`'• 1 " =60' •• {'l'; I D. CAWING o ® DEEb\3795-073 in 00 i Nt: _55.15/'r• g2 2-) n pril 20,000 SF dW 0 c • `PF`Q -p ACCEPTED REPAIR 20" DEPTH N .- y LOW SIDE. LTAR 0.225, 533 LINEA', o •• OG FEET REQUIRED ON CONTOUR. TIES LLC �0� 4 �`� 404 o z � 5 v 6� 4' Ai 45'NGLE O , '32f, -'37" - _ - N7g'_ , '06„ w w 202. i ._- REMNANTS MEANDERS WITH E N 6so6, 26" �� ,395 •t r 1 • z OPp 'yy/ �1PMv 49.13' 75.12' S ` to 198.26' / o) S 87'59 37 E :') S �— -- �,_ o _ ?0 N 85'30'39" E N00r 3..26' 65.21' ; N 8p'14'03 f 90.33 O eR-14/0 - �� , ,N,'. oil ii III �, iv = o NOR oI ��2 O��G in 0 O7�L F N/ �. .. SCALE �' e a 8.977 ACRES RECOMBINED 1" =60' � ---- D. CAWING tiD DEE 795-073 ..1 :_, b �7 CO N �'1 ® 000 J W SF d^ WILUAI TEu WAR 20'DEPTH'Q LOIN!DE LTM 0.725 ElJ3 o DEED 291. FEET MIMED D ON OOIETOUR ROPERTIES LLC Lo IIa: ® 3 158-1404 Z ' i 1:14:1:1C ES / i1E Ot. -lam o 1♦ 241 E 11a1iLL1.ItII� to Aim:el ffiir Q Li'- 241E FiYY7kY1E1• ice, 501 F10 �E• 7874 08 W I�C1mo1:1$.3:11 �� 2�2 f� [�S 811E AI REMNANTS OF FENCE iu �1♦s 75'3 MEANDERS WITH BOUNDARY LINES �� .�'4 /.. " [U. ='3 [MINN 03'5 NNE'S 81'3. NsS T; 81' AlmINF 1. `�� �9`Sbs MSS _41. 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I G 1 IIIIIiiniIF hilt ullilli01nn' Mid__ I a z I I 1iiiiiIIiIIhuh I b rn !! 11 4 i q 10 s 1 I 2, p •4 i g 1; " - 21-' “ 0 4=iYi % Z gl g' E g VP ci-J • L11 ; ill i " 5 o gN N i O 1 1 " 1 o ` 1 8 CALCULATIONS Location 515 S. 8th Avenue Maiden, NC 28650 Project Number 23-0114 Lot No: NA No. of Bedrooms 4 Design Flow 480 gal/day LTAR 0.250 gpd/w 25% RED.? (YES OR NO) YES Supply Line Length 134 ft Supply Line Volume 23.316 gal. FRICTION FACTOR INTERPOLATER Required Feet of Line 480 ft. 2"SCH 40 PVC Amount of Line from Layout 500 ft. GPM f 20 0.84 Gallons per Minute 22.69 gal/min -0.88 25 1.27 Required Septic Tank Capacity 1000 gal. -1.28 Minimum Standard Tank Size 1000 30 1.78 -1.76 Lateral Line Volume 326.5 gal. 35 2.37 -2.25 Dosing Volume 228.55 gal. 40 3.03 Note: Dosing Volume based on 70%of 43.07 3.48 lateral line volume 45 3.77 48.14 4.28 50 4.58 57.11 5.89 60 6.42 Tank Draw Down 10.9 Generic Draw Down of 21 gainer in. Pump Run Time 10.07 minutes Elevation Head 10.1 ft. Pressure Head 2 ft. Friction Factor 1.78 ft./100 ft. (From the interpolater.) Friction Head 2.39 ft. Total Dynamic Head (+15%) 16.66 ft. Sheet 1 of 1 PROPERTY ID#: 364610355479 COUNTY: Catawba SOIUSITE EVALUATION for ON-SITE WASTEWATER SYSTEM (complete all fields in full) OWNER: Dustin Lawing APPLICATION DATE: ADDRESS: 120 Rockin J Rd Maiden NC 28650 DATE EVALUATED: 9/7/2023 PROPOSED FACILITY: 4 bedroom Residence PROPERTY SIZE: 8.98 LOCATION OF SITE: 515 S 8th Ave Maiden NC 28650 PROPERTY RECORDED: yes WATER SUPPLY: ❑' Private CI Well ❑Spring 0 Other EVALUATION METHOD: CI Auger Boring 2 Pit ❑Cut TYPE OF WASTEWATER: Q Sewage 0 Industrial Process ❑ Mixed P R O SOIL MORPHOLOGY OTHER .1940 (.1941) PROFILE FACTORS PROFILE F LANDSCAPE HORIZON DEPTH CLASS L POSITION/ (IN) &LTAR E SLOPE% ,1941 .1941 •1942 .1943 .1956 .1944 STRUCTURE! CONSISTENCE/ SOIL SOIL SAPR RESTR TEXTURE MINERALOGY WETNESS/ DEPTH CLASS HORIZ rnl na 0-8 BSLGR FR SS SP PS 0.275 SHALL 8-29 RBCWMABK FR SS SP fsap PS 0.3 DEEP P1 U5% 29-48 RBCLWFSBK FR SS SP f-csap 48 0-5 BSLGR FR SS SP 5-34 BRCWMABK/SBK FR SS SP fsap P2 U5% 34-48 RBCLWFSBK FR SS SP fsap 48 PS 0.3 0-7 BSLGR FR SS SP 7-34 BRCWMABK/SBK FR SS SP fsap P3 U5% 34-48 RBCLWFSBK FR SS SP csap 48 PS 0.275-0.3 0-14 BSLGR FR SS SP 14-33 YBSCWMSBK F SS SP cFe conc/depl P4 U6% 33-48 YRSCWMSBK F SS SP cFe 48 PS 0.225 0-7 BSLGR FR S5 SP 7-39 BRCWMABK/SBK F SS SP fyell litho P5 U6% 39-50 RBCLWFSBK FR SS SP fsap 50 PS 0.275-0.3 0-14 BSLGR FR SS SP 14-23 YBSCLWFSBK FR SS SP B1 U6% 23-40 YRSC/CWMSBKJABK F SS SP fFe 50 PS 0.25 40-50 RBCUSCLWFSBK FR SS SP csap 0-11 BSLGR FR SS SP 11-25 BRCWMSBK F SS SP Q O IL S` B2 U6% 25-50 RBSCLWFSBK FR SS SP -csap ,�r 1/4,- ����""1� �f/ PS 0.3 0-7 BSLGR FR SS SP ,� -_,1,. .. ` ' 7-50 BRCWMSBWABK F SS SP -f-c Fe L1 ? `�i �' "' .tip lir I 83 V7% s�+ c `7 'r y i�f i i 1 .t /{// 25 0-12 BSLGR FR SS SP tJ � . 12-39 RBC/SCWMABK/SBK F SS SP _fsap cFe chr3 ' (.(\ B4 U5% 39-50 RBSCLWFSBK FR SS SP _csap 50n .\ �5 qP .225 - 4Jili. / ti 'fir �v ! 123 ,,..,Or -. 1 NO RT �P DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): SITE CLASSIFICATION(.1948): PS Available Space(.1945) PS PS EVALUATED BY: Ashley Rollans System Types(s) ACCEPTED W/PM ACCEPTED W/PM OTHER(S)PRESENT: Chad Wagner Site LTAR 0.25 0.225 COMMENTS: -