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CATAWBA COUNTY Case # EHPR-1 1-09-2621
Subdivision Health Department ~ qtr SectionJBi/Fh/Lot#
Environmental Health Division
PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN#
1$ [~Z sra (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 V ~O
Applicant/Owner Mar Simpson
Site Address: 4221 Herter Rd Lincolnton NC 28092
Property 3.15
Directions:
EXISTING SYSTEM INSPECTION REPORT
Site/System Diagram
51 Q%~% c.
0
~,~pJ SC Ca~~°
Type of Facility : House X Mobile Home hl #Bedrooms 3
Business 7 Specify
Other F-1 Specify
Proposed Additions/Accessory Structure: Deck Addition
Approved X Not Approved ❑ Reason
Evidence oon : NO ❑ Sysem Type/Description Gr avel
II i1-/D
TE AGENT APPROVAL DATE
NOT FOR LOAN APPROVAL
r 7 ,,7
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