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Orange County Health Department <br /> ee. er o <br /> W vp <br /> CONSTRUCTION AUTHORIZATION APPLICATION FIELD NOTES <br /> THIS IS NOT A PERMIT <br /> Parcel Pin; 9843137930 TMBL: 3 <br /> Application Date: 08/08/2016 <br /> Permit#: CA16-00276 <br /> Applicant: JOEL ROBERTS Owner: NC UNITED METHODIST CAMP&RETREAT <br /> MINISTRIES IN <br /> Phone: 919-619-6288 1 Phone: 1 <br /> Property Desc.: SIO SR 1120 Lot Size: 201.05 <br /> Prop Address: 652 CAMPFIRE CIR OCPL <br /> Permit Type: <br /> Facility Type: Improv.#: Expires <br /> 9 GPD Requested:0 Water Supply: <br /> ----------------------=_=---------ACTIVITY LOG AND NOTES--------- — <br /> Wasteflow : GP❑ Primary System Type: Sys Class <br /> No.of Bedrooms: Nitrification: Ft.X Ft. Wide <br /> STB Tank: gal Max.Trench Depth: In. <br /> Pump Tank: gal Horz.Trench Sep: Ft. <br /> Repair System Type: Sys Class: <br /> Comments: <br /> Date EHS Notes <br /> Cat-4130102 Pick up� Mail_ File Reviewed <br /> 124 <br />