Orange County NC Website
f <br /> ORANGE COUNTY HEALTH DEPARTMENT 26 <br /> REFERENCE NUMBER DATE PIN MAP REFERENCE <br /> fiL 24,96. 9882-57-5039 7, 3, - 13 <br /> OWNER: <br /> _ <br /> APPLICANT: BRUMLEY GEORGE W 111 <br /> 7416 CJ-iAPEL HILL Rr—Lg3l <br /> t?c�LE3�•� f'•fC ��£+t>Zf 2$12 NEW f-4£1PE Cs.�s#.t?�•4.c ,rt,D CJ49PEL HILL 27514 <br /> TELEPHONE: ' <br /> SPECIFICATIONS: LOT SIZE/ACREAGE: DESIGNATED WETLAND? YES <br /> q3�5 NO <br /> DRILL <br /> LOCATION/DIRECTIONS: <br /> rtNt-Ti EPSITY STPT3C7J%f -?CmD <br /> { FEE: RECEIPT: SIGNATURE OF APPLICANT: <br /> tip 3��q��G <br /> CONFIRMED BY PLANNER: PLANNER j DATE CLERK <br /> TYPE SIZE ------ DEPTH ------ CASE.DEPTH ------ <br /> GROUT ------ 'YIELD ------ LE;JEL ------ I+ATE'R�ZMAE ------ <br /> CMITRACTCR` ------------------ DRILLER: ---------------------------- <br /> REMARke5z --•----------------------------------..--------------.------------•------ <br /> 1 <br /> vrea shed bc/1 as sti►•II 'M el r " Unr,�uS`� <br /> d zed m4k,4 a <br /> ov*L a8 SuAtowl 1-► <br /> vveU 6T CS Loc6W Ar McAfts?' <br /> .S lnler'b�r+ <br /> I <br /> i <br /> DATE.. 3 SSUED —,J Ea— ENV HEALTH SPEC _-- — — , - --Q�=---- <br /> DATE.APPl M-1ED EP J HEALTH SPEC --------- <br /> SEE IMPORTANT INFORMATION ON THE REVERSE SIDE - <br />