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EXSY-5-11-17917.TIF
` tij� C�\ , , �Casc# EHPR->-11-1U7�0 / ., �� CATAWBA COU\T1 ; -- , ,. �� � _ . �-. y � 5ubdi�•ision ��..� . � l• Public Healil� Dcpartment - , I' I.� ScclionBl/Il�/Lot# 3B-3C � � .�►. /, Environmcntal Hcalih Di� ision - ,% �i►� ` �O Box .�R�I. 1OOA Soulh��csl $hd. Nc��ton NC 2ti�i��; �'lN# � .�7011-i�1-.��-7-1x� \�"� 82R aG�-i+270 P�u S2R -4G�-S27 .. )I) �2R G5-f��00 -- — � �} � ��, c i c) � i� c,-+ �VS�.�—ll �111� F Ap IicanUO��ncr Kc��n� Mull Site Address: -4G7 Jo� Ln.. Hickon�. NC ___... .--- • • ---_... --... _. _ __. ..... Properi� Sir.c: �.>19 �icres _:...._ -----._ __ ----- Di rcCi ions _ __ ----__. -- ___ _ _----- E�ISTING SYSTE(VI INSPECTION REPORT Site/System Diagram �-----_..____--_- _._._ _...._.___?i � . �—_ ys x i , e.� '.__.. � _.� - _—� -- � _ 1' 4 � � �y Qo - —�� � � � . � e f`,� � �i�� ��i�bn r""C �`3cx � So�X i3 , �\��� `y � � rr1�1 �Pr�X . � rfA P1�� . � ,�r �----.__.___—._.._....__. _......._ ........ . . _.__...____�i� � 3 �`i '10' -- � `}' �\`' �U1�IY`t �Ul��(,'�Gt�I�iVls ��� �" � �F�i`-� r .' ,, `t �,� .�'; �, �:;-�r`.r4-d C(6`C'1 �(P' �r (�r?tti ; �- � � � �t� �� r�r' , �- _ � �' > ; a�d z�fl-� {��� well, l � �� � ��U�Ihr�. �' S� �`�` '����'- V �;',��!: T i D`y��i ^, '=ji 1� V�G'��c�ve tr 110 C}'•..Ut`� 4 '��G I i J " C�6� � �J � G« �� 1�", �c'4t�•�..ei1i�{-- , � � ,; I 'I'� pc of Facilin : Housc �_ Mobile Homc ❑ #Bcdrooms I Business __}�_ Spccif� Other _�_ Specif� Proposcd Additions/Accesson Structurc: 23z?0 kitchcit and liviii�; room addition: 3U�-lU iitctal slora�c buildiii,t; Appro� ed � Not Appro��cd ❑ Rc�ison E�•idcncc of S�stem Malfunction: YES ❑ NO � S�stcnt T�pc/Dcscription 11a � I �, l. �,� s iz i � �i. riic�kiz�:u s r:� rr::ar�i:� r - ��i�x��� :�i. n:a n: NOT FOR LOAN APPROVAL