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i <br /> Orange County Health Department 178 <br /> Environmental Health Division <br /> P.O.Box 8181,306-C Revere Road <br /> Hillsborough,NC 27278 <br /> Phone 919-245-2360 Fax 919-644-3006 <br /> www.co.orange.nc.us <br /> .4 <br /> IMPROVEMENT PERMIT <br /> Parcel Pin: 9820458101 TMBL: 6.17..1OD <br /> Application Date: 10/03/2003 Permit#: IP03-00574 <br /> Applicant: TOMBERG JAMES B Owner: TOMBERG JAMES B <br /> Address: 6618 MEBANE OAKS RD Address 6618 MEBANE OAKS RD <br /> MEBANE NC 27302 MEBANE NC 27302 <br /> Phone: 563-3526 / Phone: / <br /> Property Desc.: OFF SR 1007 P92/138 <br /> Prop Address: MEBANE OAKS RD <br /> Permit Type: RESIDENTIAL NEW SYSTEM Lot Size(Acres): 18.29 <br /> Facility Type: RES SFD Square Footage: 0 0 <br /> Water Supply: PRIVATE WELL <br /> Initial System Replacement System <br /> Wasteflow: 600 GPD System Type: Conventional(Shallow) System Type: Conventional(Shallow) <br /> No.of Bedrooms: 5 System Class: Ile System Class: IIe <br /> Site Classipcation Useable Soil Depth: 30 " Useable Soil Depth: 30 " <br /> PROVISIONALLY SUITABLE LTAR: .275 gpd/ft2 LTAR: .275 gpd/ft2 <br /> Conditions: <br /> 1: Upon application for construction authorization,the proposed house location will be designated as one or the other <br /> indicated on the plat provided. <br /> 2: This improvement permit issued in conjunction with an approved plat is nonexpiring. <br /> Refer to the attached site plan for specific information regarding location of the designated area. Soil and site <br /> descriptions are located on fde 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 <br /> system 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 requires a new application and additional fees. <br /> ISSUED: 11/24/2003 EXPIRES: _ <br /> Environmental Health Specialist <br /> EH IP 4/30/02 Pick up_ Mai!— File Reviewed <br />