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Orange County Health Department <br /> Environmental Health Division <br /> Z 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: 06/18/2003 Permit#: CA03-00246 <br /> Applicant: PIEDMONT WILDLIFE CENTER Owner: COMMISSION ON OUTDOOR <br /> Address: 3142 ANNABELLE LANE Address PO BOX 10955 <br /> CHAPEL HILL NC RALEIGH NC <br /> 27516 27603 <br /> Phone: 304-6657/ Phone: / <br /> Property Desc.: SIO SR 1120 Lot Size: 201.05 <br /> Prop Address: CAMP CHESTNUT RIDGE <br /> Permit Type: COMMERCIAL REPAIR <br /> Facility Type: BUSINESS IP Number: IP03-00278 Expires: 04/21/2008 <br /> Water Supply: Private Well <br /> SYSTEM SPECIFICATIONS <br /> Wasteflow: 100 GPD Primary System Type: Conventional(Shallow) System Class: He <br /> No.of Bedrooms: Nitrification: 0 Ft X OFL Wide <br /> Septic Tank: J000 W Maximum Trench Depth: 0 In. <br /> Min.Pump Tank: 0 GAL Horiz.Trench Separation: 0 Ft. <br /> Other: 1/32"effluent filter Innovative System Type: <br /> Repair System Type: System Class: <br /> COMMENTS: <br /> 1: NOT DESIGNED FOR GARBAGE DISPOSAL <br /> 2: REPLACE EXISTING WATER-CLOSET WITH 1.6 GAL/FLUSH <br /> 3: PUMP EXISTING TANK&REMOVE ALL ROOTS <br /> 4: ADD 1/32"EFFLUENT FILTER WITH THE FOLLOWING DIMENSIONS 8"X 1811).THE TANK MUST HAVE A MINIMU <br /> ACCESS OPENING OF 15"X <br /> 15".AN INTERIOR LID MUST BE FITTED OVER THE OPENING. <br /> 5: ADD INLET&OUTLET ACCESS RISERS TO ACHIEVE A MINIMUM HEIGHT ABOVE FINISHED GRADE OF 6". <br /> 6: CHECK EXISTING NITRIFICATION LINE FOR ROOT BLOCKAGE AT LEAST THROUGH AREA OF MAPLE TREES.A] <br /> ON OUTLET PIPE FOR <br /> COPPER SULFATE APPLICATION. <br /> PERMIT CONDITIONS <br /> * REFER TO THE ATTACHED SITE PLAN SHORING THE SYSTEM AND FACILITY LOCATIONS AND OTHER SYSTEM 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 WITH: <br /> * ORANGE COUNTY RULES FOR WASTEWATER TREATMENT AND DISPOSAL SYSTEMS AS ADOPTED BY THE ORANGE <br /> COUNTY BOARD OF HEATH <br /> * ORANGE COUNTY WASTENVATER SYSTEM SPECIFICA NS AND OCHD POLICIES. <br /> * SYSTEMS WITH A CLASSIFICATION OF III OR HER L If <br /> IRE PERIODIC INSPECTIONS BY THE O.C.HEALTH DEPARTMENT <br /> ISSUED: 06/19/2003 -0 EXPIRES: 04/21/2008 <br /> E dronmental Health Specialist <br /> 244 <br /> G4-4130102 Pick up_ Mail File_ Reviewed <br />