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$ CATAWBA COUNTY Case # EPHR-1=10-3547
G
t 2 Public Health Department Subdivision
sion Lot#
Environmental Health Division
PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN#
$ 2 SM (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 - H0 0 q313
Applicant/Owner Ludol h James
Site Address: 6884 Shade Tree Ln, Sherrills Ford
Property Size:
Directions:
EXISTING SYSTEM INSPECTION REPORT
Site/System Diagram
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Type of Facility: House IRI Mobile Home n #Bedrooms 2
Business Specify
Other F1 Specify
Proposed Additions/Accessory Structure: 12 x 24 sunroom
Approved E Not Approved ❑ Reason
Evidence of System Malfunction : YES ❑ NO E System Type/Description 2a- gravel pit
Air P 41 1-27-10
AUTHORIZED STATE AGENT APPROVAL DATE
NOT FOR LOAN APPROVAL
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