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ORANGE COUNTY HEALTH DEPARTMENT <br /> 177 <br /> REFERENCE NUMBER DATE PIN MAP REFERENCE <br /> H 15366B SOIL ANALYSIS 09. 03. 91 9841-70-1394 6. 14. . 7A <br /> REOUESTEE: OWNER: <br /> SNIPES GLADYS T SNIPES JIM HRS <br /> DAIRYLAID ROAD <br /> HILL5POROUGH NC 2727 RT 3 <br /> TELEPHONE: <br /> 942-1408 ��,7- � 3^ HILLSBOROUGH NC 27278 <br /> SPECIFICATIONS: T SIZE I ACREAGE: DESIGNATED WETLAND? <br /> YES <br /> TO SET UP SINGLE WIDE 3 sR A87. 4 <br /> NO <br /> LOCATION/DIRECTIONS: <br /> DAIRYLAND ROAD <br /> FEE: RECEIPT: SIGNATURE OF OWNER OR AUTHORIZED AGENT: <br /> 70 025954 <br /> CONFIRMED BY PLANNER: PLANNER RATE CLERK <br /> SLOPE TEXTURE - �_ STRUCTURE DEPTH_ DEPTH <br /> R. HOR -- IN. DRAIN _ EX. DRAIN S PERMEAD _ <br /> OVERALL _ <br /> REMARKS; <br /> vf • <br /> s <br /> 3� <br /> DATE _ _ EIVU HEALTH SiE _ __ <br /> _ SEE IMPORTANT INFORMATION ON THE REV SE SIDE <br />