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# EHPR-12-09-2965
CA'TAWBA COUNTY gPrN#
Public Health Department vision Havenwood MHP
`j Environmental Health Division n/BUPh/Lot#
N. PO Box 389, 100A Southwest Blvd, Newton NC 28658 374501468578
8 Z (
828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200
COW 1.), 330
A licant/Owner Gerald Cline
Site Address: 6366 Havenwood Ln Conover
Pro Size: 5.88
Directions:
EXISTING SYSTEM INSPECTION REPORT
Site/System Diagram
G
ype of Facility : House Mobile Home #Bedrooms -F_
Business Spey
Other Specify
roposed Additions/Accessory Structure: 15'X24' storage buildin.
.pproved_ Not Approved ❑ Reason
vidence of System Malfunction : YES ❑ NO _ Sysem Type/Description gravel bed
12/07/09
AUTHORIZED ATE AGENT APPROVAL DATE
NOT FOR LOAN APPROVAL
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EHPR-12-09-2965
TRACKING INFORMATION
Date Calls
12/04/09 1" Contact - Discussion Only
12/04/09 Site Ready to be Flagged
12/07/09 Site Flagged
12/07/09 Site Ready to be Evaluated
12/07/09 Site Evaluated
12/07/09 Approved for Issuance
Other
Date Comments/Field Notes