HomeMy WebLinkAboutEXSY-4-11-17199.TIF �� CATAWBA COUNTY Case # EXSY-4-11-17199
G Subdivision
F.,� 'Z. Public Health Department Section/BUPh/Lot#
� �r� ''� Environmental Health Division
v �� � PO Box 389, 100A Southwest Blvd, Newton NC 28658 P � #
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A licant/Owner Kum Investments
Site Address: 1649 Balls Creek Rd
Pro e Size:
Directions:
EXISTING SYSTEM INSPECTION REPORT
Site/System Diagram
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Type of Facility : House I� Mobile Home IRI #Bedrooms 3
Business �l Specify
Other _� Specify
Proposed Additions/Accessory Structure: 3 uncovered decks
Approved � Not Approved ❑ Reason
Evidence of System Malfunction : YES ❑ NO � System Type/Description 2a trench
Robbie Ph�jps 4-20-11
AUTHORIZED STATE AGENT APPROVAL DATE
NOT FOR LOAN APPROVAL