HomeMy WebLinkAboutEXSY-2-10-4407.TIF
~gA CATAWBA COUNTY Case # EBPR-1-10-3601
G
Public Health Department Subdivision Olde Well South
Environmental Health Division Section/Bl/Ph/Lot# 94 & Pt 95
pIN# 370113133851
PO Box 389, 100A Southwest Blvd, Newton NC 28658
1$ Z su (828) 465-8270 Far (828) 465-8276 TDD (828) 465-8200 v j7O 7
Applicant/Owner Randolph Pro st
Site Address: 4852 Kennedy St Hickory
Property Size: .49
Directions:
EXISTING SYSTEM INSPECTION REPORT
Site/System Diagram
X30'
ij
! 5~
s, V3~rr
bca°° a
c
t'd aS~r
/ to
ioA^ __,rvP foo"
Type of Facility: House_ Mobile Home #Bedrooms
Business F-1- Specify
Other F-1 Specify
Proposed Additions/Accessory Structure: I OX 16 sunroom
Approved k Not Approved ❑ Reason
Evidence of System Malfunction : YES ❑ NO Sysem Type/Description gravel
~(V(ktN 1/27/10
AUTHORIZE STATE AGENT APPROVAL DATE
NOT FOR LOAN APPROVAL
CADommentsandSettings\jenglish\LoadSettings\Temporarylntemet Files\Content. Outlook\TENCGZZ I \EXISTING TANK CHECK.docx