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$A l' Case # E14PR-11-09-2539
CATAWBA COUNTY
G Subdivision
Public Health Department Section/Bl/Ph/Lot#
Environmental Health Division PIN#
PO Box 389, 100A Southwest Blvd, Newton NC
I 2 28658
H4sm (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 < Q
Applicant/Owner Donald Rhone
Site Address: 9051 Jacob Fork River Rd Vale NC 28168
Property Size: 127.76
Directions:
EXISTING SYSTEM INSPECTION REPORT
Site/System Diagram
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Co-`Qa •,c~ I~ O J 5e.
Type of Facility: House X Mobile Home #Bedrooms 2
Business El Specify
Other 0_ Specify
Proposed Additions/Accessory Structure: Car Port
Approved X Not Approved ❑ Reason
Evidence of System Ma ction : ES ❑ NO X Sysem Type/Description Gravel BEd
A /lq/c)g
.e.
AUTHORIZED STATE AGENT APPROVAL DATE
NOT FOR LOAN APPROVAL
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