HomeMy WebLinkAboutEXSY-4-11-16631.TIF �' CATAWBA COUNTY Case # EXSY4-11-16631
�' G Subdivision
�, � Public Health Department
� �t� `� Environmental Health Division Section/Bl/Ph/Lot#
v � � PO Box 389, 100A Southwest Blvd, Newton NC 28658 P � #
1$ 4 � sM (828) 465 F� (828) 465 TDD (828) 465
A licant/Owner Michael Cook
Site Address: 2885 W annt Rd
Pro e Size:
Directions:
EXISTING SYSTEM INSPECTION REPORT
Site/System Diagram
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Type of Facility : House �_ Mobile Home _� #Bedrooms 3
Business �_ Specify
Other �_ Specify
Proposed Additions/Accessory Structure: 30 x 30 ara e
Approved � Not Approved ❑ Reason
Evidence of System Malfunction : YES ❑ NO � System Type/Description 25% ez-flow
Robbie Phelps 4-4-11
AUTHORIZED STATE AGENT APPROVAL DATE
NOT FOR LOAN APPROVAL