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r <br /> Orange County Health Department <br /> Environmental Health Division <br /> P.O. Box 8181,306-C Revere Road <br /> Hillsborough,NC 27278 <br /> Phone 245-2360 Fax 644-3006 <br /> www.co.orange.ne.us <br /> WASTEWATER SYSTEM CONSTRUCTION AUTHORIZATION <br /> Parcel Pin: 9843137930 TMBL: 3.55..4 <br /> Application Date: 11/09/2005 Permit#: CA05-00438 <br /> ---Applicant:- RIGGINS DARYL Owner: NC UNITED METHODIST CAMP <br /> Address: 4300 CAMP CHESTNUT RIDGE RD Address PO BOX 726 <br /> EFLAND NC FUQUAY VARINA NC <br /> 27243 27526 <br /> Phone: 304-3900/ Phone: 1 <br /> Property Desc S/O SR 1120 Lot Size: 201.05 <br /> Prop Address: 4300 CAMP CHESTNUT RIDGE RD <br /> Permit Type: RESIDENTIAL.NEW SYSTEM <br /> Facility Type: RES SFD IP Number: IP05-00514 Expires: 10/04/2010. <br /> Water Supply: Community Well <br /> SPECIFICATIONS===========_============================ <br /> Wasteflow: 360 GPD Primary System Type: Conventional(<480 gpd) System Class: Ila <br /> No.of Bedrooms: 3 Nitrification: 400 Ft. X 3Ft.Wide <br /> Septic Tank: 1000 GAL Maximum Trench Depth: 24 In. <br /> Min.Pump Tank: 0 GAL. Horiz.Trench Separation: 9 Ft. <br /> Other: Innovative System Type: <br /> Repair System Type: Conventional(<480 gpd) System Class: Ila <br /> COMMENTS: <br /> 1: NOT DESIGNED FOR GARBAGE DISPOSAL(added by script) <br /> * REFER TO THE ATTACHED SITE PLAN SHOWING THE SYSTEM AND FACILITY LOCATIONS AND OTHER SYSTFM SPECIFICATIONS <br /> * THIS AUTHORIZATION SHALL BECOME INVALID AND MAY BE REVOKED IF: <br /> * THE INFORMATION SUBMITTED ON THE APPLICATION IS INCORRECT,FALSIFIED,OR CHANGES. <br /> * THE SITE IS ALTERED,OR <br /> * THE SYSTEM INSTALLATION IS NOT COMPLETED BEFORE THE EXPIRATION DATE. <br /> * THE SYSTEM SHALL BE INSTALLED IN ACCORDANCE WITII: <br /> * ORANGE COUNTY RULES FOR WASTEWATER TREATMENT AND DISPOSAL SYSTEMS AS ADOPTED ISY TIIIi ORANGF. <br /> COUNTY BOARD OF HEATH <br /> * ORANGE COUNTY WASTEWATER SYSTEM SPECIFICATIONS,AND OCHD POLICIES. <br /> ' SYSTEMS WITH A CLASSIFICATION OF III OR IHGHER WILL REQUIRE PERIODIC INSPECTIONS BY THE O.C.III:ALTH DEPARTMENT <br /> ISSUED: 11/22/2005 2.s. EXPIRES: 10/04/2010 <br /> Environmental Health Specialist <br /> 177 <br /> CA-4130102 Pirk up_ Mail File_ Reviewed <br />