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Home My WebLink AboutEXSY-5-11-18115.TIF $ C1�'TAWBA COUNZ'Y � # EHPR-S-11-10876 !� '� Public Health Department Subdivision Ashton Glen PHl `'� Emironmental Health Division IN�� 3609-01-46-4142 PO Box 389, 100A Southwest Blvd, Newton NC 28658 1 W (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 r i I t� C y � t JQ ,!� �� J o A licantlOwner Shelb Chesson Site Addi�ess: 974 Ashton Glen Cir., Hicko , NC Pro Size: 0.46 actes Directions: ��S��a ��T�� Site/SyStem DiSgr��a �-�— ,� �.� P�r.�� . ��k �1'r ��e� = � ��. � � a i � ��.�• ��x�� S S� uva-s V�s� II �� r � i� i► � � �,,,;�,,� � � . � D� r�� . -�� -, ��,p„ � ��a�v �.r�. N� ��.. c� -� �, �� I� �-4�� , 1 s.�. �.s�� t,� S� b�� • i P � �h � �o �,� �;�,� �� c,�, ov -�14 5�;,, , d� � S S r{�i✓'- �� ;� y s� � �e� �� }� �s�. �, - �5xyo Ia' .Do T�pe of Facility: House ____�— Mobile Home �_ #Bedrooms - � � �� ``IT Business n _ Specify 5 ��i Other �_ Specify Proposed Additions/Accessory Stcucture: covered deck 29x20 Approved � Not Approved ❑ Reason Evidence of System Malfunction: YES ❑ NO � System Tyge/Description IIIG ��2pp�- 022y� 5 �9 II ORiZED STATE AOENT APPR V DATE �o� �o� ��A� ��V1��