HomeMy WebLinkAboutEHPR-3-11-9700 (2).TIF �$I�• CATAWBA COUNTY Case # aPP --- U -rl R
Subdivision H � ' (.. � � Public Health Department �
Q Environmental Health Division S ubdiv BUPh/L ot#
PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 31 a - • I. 8
8 , 9 , 1 (828) 465 -8270 Fax (828) 465 -8276 TDD (828) 465 -8200
Applicant/Owner David Y
Site Address: s G 44 e' Fun Garo th --
Property Size: a,
Directions:
EXISTING SYSTEM INSPECTION REPORT
SitpJSvstpm Diagram
Se4 of gir,,,.0 pu-, ■ 4. - Q3 LPD issued 3-S -0I
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ype of Facility : House el Mobile Home Q #Bedrooms _ II 1 PWp t
Business n Specify 1 V 0 i r`
Other f Specify tuNce-
roposed Additions/Accessory Structure: .102 1 ,Cvvvr B,/G" e -I-i in d
.pproved ❑ Not Approved 6/ Reason c. f AAIO jy, S Ut.lrra d i■l, a\, s ro uy1 Q ,
vidence of System Malfunction : YES d NO ❑ Sysem Type/Description Cv)-k (/(/-1 OIA,r."Q
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AUTHORIZED ATE AGENT APPROVAL DATE
NOT FOR LOAN APPROVAL
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