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CATAWBA COUNTY Case # EPHR-12-09-3237
G Subdivision
t.~ Public Health Department Section/BI/Ph/Lot#
Environmental Health Division PIN#
PO Box 389, 100A Southwest Blvd, Newton NC 28658
1$ Z SM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200
Applicant/Owner Dwayne Gosnell
Site Address: 1127 Spring Morning Ln
Property Size:
Directions:
EXISTING SYSTEM INSPECTION REPORT
Site/System Diagram
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Type of Facility: House Mobile Home _p- #Bedrooms 3
Business I-I Specify
Other El Specify
Proposed Additions/Accessory Structure: Carportdeck storage building
Approved ❑ Not Approved ® Reason Metal Carport over drainfield, deck stairs over tank
Evidence of System Malfunction : YES ❑ NO ® System Type/Description 3g -chambers
Ad'-4- /4/ 1-5-10
AUTHORIZ D STATE AGENT DATE
NOT FOR LOAN APPROVAL
CADocumentsandSettings\jenglishULocalSettings\Temporary lntemet Files\Content.Outlook\TENCGZZI\EXISTING TANK CHECK 12-09-3237.docx