HomeMy WebLinkAboutEHPR-11-2023-45993--los
ENVIRONMENTAL HEALTH
G) Catawba County Government Center
25 Government Drive I P.O.Box 389 I Newton,NC 28658
Catawba county Phone:(828)465-8270 I Fax:(828)465-8276
public health Email: EHAdmin@CatawbaCountyNC,gov
RAMC 111111.
Environmental Health General Application QQ
Case# 1f1PR W)03 S y13
Property Location: City of Newton
Street Address: 2709 N Main Ave
City: Newton 28658
State: NC Zip:
Mikaela Virts
Contact Person:
Contact Phone Number: (828) 729-6056
mikaelavirts@gmail.com
Contact Email Address:
Establishment Name:
licensed alternative family living home (2 clients)
Architect Name(if applicable):
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 n _Lodging Bed and Breakfast Home —— Bed and Breakfast Inn
Residential Care Rest/Nursing Swimming&Wading Pools, Spas, School Building
Splash Pads
Water Supply Type Individual Well n Community Well n Public Water Ne Unknown n
Sewer Supply Type Individual Septic n Public Sewer NeUnknown 0
All applicable information must be provided prior to submission. Contact Environmental Health for
applicable fees.
Applicant Signature Date