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• tt�t• H <br /> Orange County Health Department <br /> r. s Environmental Health Division <br /> P.O. Box 8181,306-C Revere Road <br /> 'fie r1'gyp;•�ii <br /> Hillsborough,NC 27278 <br /> Phone 919-245-2360 Fax 919-644-3006 <br /> www.co.orange.ne.us; <br /> IMPROVEMENT PERMIT <br /> Parcel Pin: 9843137930 TMBL: 3.55A <br /> Application Date: 09/19/2005 Permit#: IP05-00514 <br /> Applicant: RIGGINS DARYL Owner: NC UNITED METHODIST CAMP <br /> Address: 5300 CAMP CHESTNUT RIDGE RD Address PO BOX 726 <br /> EFLAND NC FUQUAY VARINA NC <br /> 27243 27526 <br /> Phone: 304-3900 / Phone: / <br /> Property Desc.: S/O SR 1120 <br /> Prop Address: CAMP CHESTNUT RIDGE <br /> Permit Type: RESIDENTIAL NEW SYSTEM Lot Size(Acres): 201.05 <br /> Facility Type: RES SFD Square Footage: 0 0 <br /> Water Supply: PRIVATE WELL <br /> Initial System Replacement System <br /> Wasteflow : 360 GPD System Type: Conventional(<480 apd) System Type: Conventional (<480 gpd) <br /> No.of Bedrooms: 3 System Class: IIa System Class: Ila <br /> Site Classification Useable Soil Depth: 36 " Useable Soil Depth: 36 " <br /> PROVISIONALLY SUITABLE LTAR: 0_3 gpd/ft2 LTAR: 0_3 gpd/ft2 <br /> Conditions: <br /> Refer to the attached site plan for specific information regarding location of the designated area. Soil and site descriptions are located on file at <br /> Environmental Health. <br /> There may be other types of systems which are applicable to this site. <br /> The applicant for the Construction Authorization must specify the system types to be considered. <br /> The permit and evaluation are valid only for the site as designated on the attached site plan. <br /> A Construction Authorization must be issued prior to the issuance of the Building Permit and before any construction or system installation can <br /> commence. <br /> This permit is subject to revocation if the site plan,plat,or intended use changes or if the site is altered. <br /> Subsequent changes to the site plan or information in the application requires a new application and additional.fees. <br /> ISSUED: 10/04/2005 �"'�5P t S EXPIRES: 10/04/2010 <br /> Environmental Health Specialist <br /> EH!P 4/30/02 Pirk up_ Mai!_ File Reviewed' <br /> C V- <br /> 181 <br />