HomeMy WebLinkAboutEXSY-2-11-15641.TIF A
r G, CATAWBA COUNTY Case # EHPR -2 11 -9461
-4 Public Health Department Subdivision Pine Creek
Environmental Health Division
SectionBl/Ph/Lot#
V � �. ,,,..7 PO Box 389 100A Southwest Blvd Newton NC 28658 PIN# 2696 -01 -09 -6005
828 4 ( ) ( )
/ 8 4 2 sM ( ) 65 -8270 Fax 828 465 -8276 TDD (828) 465 -8200 -
Applicant/Owner Jason Scronce
Site Address: 3827 Plantation Dr. Vale, NC
Property Size: 2.059 acres
Directions:
EXISTING SYSTEM INSPECTION REPORT
Site /System Diagram
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Type o Facility: House ® Mobile Home ❑ #Bedrooms 3
Business n Specify
Other n Specify
Proposed Additions /Accessory Structure: Inground Swimming Pool 17x36
Approved ® Not Approved ❑ Reason
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Evidence of System Malfunction: YES ❑ NO ® System Type/Description IIa — gravel trenches 02.0 Z1
AUTHORIZED STATE AGENT APP OVAL DATE
NOT FOR LOAN APPROVAL