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HomeMy WebLinkAboutEXSY-6-11-18629.TIF ,51�' Case# � P - 6-�I- io� � CATAWBA COUNTY Subdivision �,� '2 Public Health Deparhnent Section/BUPh/Lot# � `� Environmental Health Division v '�� � PO Box 389, 100A Southwest Blvd, Newton NC 28658 P�# 27q �- �g- Z� -�3 g 1 4 �, SM (828) 465 Fa�c (828) 465 TDD (828) 465 ��(5y - �e = l �' ����� A licant/Owner ov �a Chq ma SiteAddress: 576 �llo r,, ;��c.k�ry, r�(i Pro e Size: 5, b° a.cres Directions: EXISTING SX�'I'E1VI INSPECTIO,N R]EP012'I' Site/System Diagram �, `'`� ���� �oc�,� � rv�:�f�"�. ��. �rvy� ���'� � �-� �� €'S G������. E �rzc� �-� c� � nl � � ���`s�:E. �':.e�� t1�'� �S� Noc,� a �2 ��D� ��-{'�(' f�t } `� �•�,}; $ � R i�.�C�l��";`�wE E SCC �'���a� j��r?�E�(, � �.�.i � W� �t��' �d��� ���°���� �Tank .� �; � ��G��. � �� , ^ �� � ���� � ��� � r � � ��� � f Se��iG S� �� � � � � i � A,�er� � ^ � � . i �' ��,-��,� v��P, ,�t5��€tr --���c���� S� o�ra� � f � �J �� � 3� � t �1c��c.vev c� � � ���`����� � � � � Ca ¢ y�,�f `.G "�`7 k�f: 4 � �---� �� t� � a ,. _ � , , a r � u - f8' h � �' � � �° . �' <''6�, t i "r' . ; ( e .`- y5 ' �� � f � � , � � �o+�5e. `°--� � �oa� � � (Jo��_a ��1JG� ( A� i a��c, r.s�� Jr � �� � f� t � : 1 n . � . � . r.�+ r �/ ;Fi e�,G+ 4l�; � � ��.� 'i k �1 �1lGY i���'t�°�` ` '+� :.�v�� � ' C.l �°=�� N�IIo D�. Type of Facility : House � Mobile Home _p_ #Bedrooms 5 p_ Business �_ Specify Other � Specify � Proposed Additions/Accessory Structure: �Ibb�Ie- �jr���"� �oD� 2�-�1. �.auh� ;J�}�-�t,� �2x 2�G6��� �2�� Approved � Not Approved ❑ Reason Evidence of System Malfunction : YES ❑ NO � Sysem Type/Description ,� G �'�b �„cd.�c�; ��� , � ' �' ,��� ��° � b I i U AUTHORIZED STATE AGENT APP O AL DATE NOT �'OR I.,�AN APPROVAL G:�EH�COMMOt�WP50\GENERP,UEXISTING TANK CHECK.docx