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$A CATAWBA COUNTY Case # EHPR-11-09-2905
G Subdivision
Public Health Department Section/BUPh/Lot# 31
Environmental Health Division p~# 370012968880
PO Box 389, I00A Southwest Blvd, Newton NC 28658
1 g 42 SM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200
Applicant/Owner Mar uita Gurley
Site Address: 4041 River Road Hickory
Property Size: 1.019
Directions:
EXISTING SYSTEM INSPECTION REPORT
C Site/System Diagram
Q ~
I
Type of Facility : House V91- Mobile Home #Bedrooms _
Business Specify
Other Specify
Proposed Additions/Accessory Structure: 24'X24' detached garage
Approved Not Approved ❑ Reason
Evidence of System Malfunction : YES ❑ NO Sysem Type/Description gravel
Ceti 12-4-09
AUTHORIZED STATE AGENT APPROVAL DATE
NOT FOR LOAN APPROVAL
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