HomeMy WebLinkAboutEXSY-3-11-15945.TIF BA CATAWBA COUNTY Case # EXSY -3 -11 -15945
Subdivision
1 2 Public Health Department
r►.`' '� Environmental Health Division Section/B]/Ph/Lot#
v y PO Box 389, I OOA Southwest Blvd, Newton NC 28658
1$ [} (828) 465 -8270 Fax (828) 465 -8276 TDD (828) 465-8200 PIN# ii p 3 q r,,rj s
Applicant/Owner Douglas & Denise Harper
Site Address: 2276 Wagon Rd
Property Size:
Directions:
EXISTING SYSTEM INSPECTION REPORT
Site /System Diagram
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Type of Facility : House ® Mobile Home ❑ #Bedrooms 3
Business n Specify
Other n Specify
Proposed Additions /Accessory Structure: Above ground pool
Approved E Not Approved ❑ Reason
Evidence of System Malfunction : YES ❑ NO ® System Type/Description 2a
Robbie Phelps 3 -10 -11
AUTHORIZED STATE AGENT APPROVAL DATE
NOT FOR LOAN APPROVAL