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DocuSign Envelope ID:81E05E8E-EED7-43D3-8B8A-08110E72140A <br /> f <br /> 1 <br /> i <br /> Orange County Health Department <br /> i <br /> 131 West Margaret Lane <br /> (919)245-2360 ORANGE COUNTY Suite 100 <br /> (919)644-3006(FAX) NORTT I CAROT,TNA P.O. Box 8181 <br /> Hillsborough, NIC 27278 <br /> t <br /> I <br /> IMPROVEMENT PERMIT <br /> PIN: 9867419070 Property Address: 3605 WALNUT GROVE CHURCH RD <br /> Application Date: 9/16/2020 3:31:32PM HILLSBOROUGH <br /> NC 27278 <br /> Permit Number: IP20-0285 Township: CEDAR GROVE-2 <br /> Applicant: ORANGE COUNTY SOLID WASTE Owner: ORANGE COUNTY <br /> PO BOX 8181 <br /> HILLSBOROUGH NC 27278 <br /> Phone: 919-682-7885 Phone: <br /> Email: bwoody@orangecountync.gov Email: <br /> Description: SE/S SR 1101 AKA WALNUT GROVE CH Lot Size: 18.13 Acres <br /> RD <br /> Water Supply: Private Well <br /> Facility Type: Office for OC Solid Waste site <br /> Initial System Replacement System <br /> Wasteflow: 100 GPD System Classification: Illb: Pump System System Classification: Illbu: Pump <br /> (Ultra-Shallow) <br /> No.of Bedrooms: Useable Soil Depth: 38 Useable Soil Depth: 28 <br /> Site Classification LTAR: 0.200 gpd/ft2 LTAR: 0.200 gpd/ft2 <br /> Provisionally suitable <br /> Conditions: <br /> 1. Permit for office for Orange County Solid Waste disposal site,with 4 employees/shift. <br /> 2. Permit issued based on submission per NCSL 2018-114.11(c)by C.A.Clapp,LSS. <br /> Refer to the attached site plan for specific information regarding location of the designated area. Soil and site descriptions are <br /> located on file at 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 <br /> installation can 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 require a new application and additional fees. <br /> ISSUED: 10/08/2020 ��✓ EXPIRES: 10/06/2025 <br /> David Ward,Environmental Health <br /> Specialist <br /> NIC 811: Call Before You Dig <br /> PM_EG_EH_ImprovementPerm1t 2020.10 <br /> Report created:10/19/2020 7:31:31PM <br /> Page 1 of 1 <br />