HomeMy WebLinkAboutEXSY-11-09-2371.TIF
hA CATAWBA COUNTY Case # EHPR-10-09-2435
Subdivision
Public Health Department Section/B1/Ph/Lot#
Environmental Health Division
PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN#
184 Z stir (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 X - 1-0q -~31
Applicant/Owner Carl Cook
Site Address: 5131 Gross Rd Hickory NC 28602
Property 1.44
Directions:
EXISTING SYSTEM INSPECTION REPORT
Site/System Diagram
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Type of Facility : House X Mobile Home F- #Bedrooms 3
Business 0- Specify
Other F Specify
Proposed Additions/Accessory Structure:
Approved X Not Approved ❑ Reason
Evidence of System Ma ficn : :STATE NO X Sysem Type/Description Gravel Bed
0 Z 3/D9
AGENT APPROVAL DATE
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