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BA CATAWBA COUNTY Case # EHPR-10-09-2212
Public Health Department Subdivision North View Harbour
Bl/Ph/Lot# 74
Environmental Health Division Section pIN# 462903108399
PO Box 389, 100A Southwest Blvd, Newton NC 28658
I8 2 SM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 qq
Applicant/Owner H. Drexel Short
Site Address: 9183 Sherbourne LN Sherrill's Ford, NC
Property Size: 0.6
Directions: 16S, LT Sherrill's Ford Rd, RT Island Point, LT Sherbourne LN
COZ EXISTING SYSTEM INSPECTION REPORT
Site/System Diagram
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Type of Facility : House x Mobile Home #Bedrooms 4
Business n Specify
Other F1 Specify
Proposed Additions/Accessory Structure: Replacing existing deck on back of home in same location
Approved x Not Approved Reason
Evidence of System Malfunction : YES ❑ NO ® System Type/Description gravel
(YIHORIZED STATE A NT APPROVAL DATE
NOT FOR LOAN APPROVAL
CADocuments and Settings\jenglish\Local Settings\Temporary lntemet Files\Content.Outlook\C9H5VVQQ\EHPR- 10-09-22 12EXIS TING TANK CHECK
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