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BA CATAWBA COUNTY Case # E14PR-10-9-1913
U Subdivision
t. Public Health Department
Q H Environmental Health Division Section/BUPh/Lot#
PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN#
Z sel (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200
Applicant/Owner Keller Masonry
Site Address: 2363 Ann St.
Property Size:
Directions:
EXISTING SYSTEM INSPECTION REPORT
Site/System Diagram
0
w4. I
14o' IVIt
b
Jay
s
24 8
J
Type of Facility : House Mobile Home F-1- #Bedrooms 3
Business Specify
Other Specify
Proposed Additions/Accessory Structure: Family room 24x 28
Approved ® Not Approved ❑ Reason
Evidence of System Malfunction : YES ❑ NO ® System Type/Description 2a
,A""' M, 10-13-09
AUTHORIZED STATE AGENT APPROVAL DATE
NOT FOR LOAN APPROVAL
Q\Documentsandsettings\jenglish\LocalSettingMemporary Internet Files\Content.Outlook\C9H5VVQQ\EXISTING TANK CHECK ehpr10-9-1913.docx