HomeMy WebLinkAboutEXSY-6-11-18841.TIF �BA Case # EXSY-6-11-18841
CATAWBA COUNTY
G Subdivision
F.,� 'Z Public Health Department Section/BUPh/Lot#
� �� ,,� Environmental Health Division P � #
PO Box 389, 100A Southwest Blvd, Newton NC 28658
1$ �+ sM (828) 465-8270 Faac (828) 465-8276 TDD (828) 465-8200 � �� �/ ,/� _ I ( � if � �
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A licandOwner Brian Ballard
Site Address: 1107 Eureka Ln
Pro e Size:
Directions:
EXISTING SYSTEM INSPECTION RT
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Type of Facility : House �— Mobile Home _� #Bedrooms 4
Business �_ Specify
Other _� Specify
Proposed Additions/Accessory Structure: 18 x 36 pool
Approved � Not Approved ❑ Reason
Evidence of System Malfunction : YES ❑ NO � System Type/Description 3g chambers
Robbie Phelns 6-13-11
AUTHORIZED STATE AGENT APPROVAL DATE
NOT FOR LOAN APPROVAL