HomeMy WebLinkAboutEHPR-05-2023-44235.tif ENVIRONMENTAL HEALTH
Catawba County Government Center L.li1 Prig .L 5 -����� "� ��
25GovernmentDrive I P.O.Box389 I Newton,NC
Catawba county Phone:(828)465-8270IFax:j828)465-8276
:;:',H 0: Email: EHAdmin@iCatawbaCountyNC.gry
Change of Ownership
Environmental Health General Application Licensed Cap: 199
Case# rSr' ivtA-A
Property Location: Maiden, NC 6 U
Street Address: 2853 Water Plant Rd � ,7
City: Maiden State: roc zip: 28650
Contact Person: Amber Hensley
Contact Phone Number: 828-428-9475
Contact Email Address: cni346@childcarenetwork.com
Establishment Name: Childcare Network#346
Architect Name(if applicable): N/A
Email Address:
Architect Address:
City: State: Zip: _
Phone:
Please Note: Plans drawn to scale and specifications shall be submitted to the local health department for review and approval prior to
initiating construction.Plans drawn to scale and specifications for changes to building dimensions,kitchen specifications,or other modifications to
existing establishments shall also be submitted to the local health department for review and approval prior to construction.The local health
department shall visit or inspect an existing or proposed center,within 30 days of the request,to determine compliance.
Establishment Type
Child Day Care FLodging Bed and Breakfast Home Bed and Breakfast Inn
Residential Care Rest/Nursing Swimming&Wading Pools,Spas, 8
Splash Pads
Water Supply Type Individual Well jj Community Well J Public Water ❑ Unknown El
Sewer Supply Type Individual Septic ❑✓ Public Sewer EiUnknown
All applicable information must be provided prior to submission. Contact Environmental Health for
applicable fees.
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Applicant Signature 1 ;i{.,(ik Q� q Date ''-h'1 ) 1)(9`