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372309074259
EXISTING SEPTIC SYSTEM INSPECTION REPORT
O«~ner Applicant .Lot Size
PALM HARBOR HOMES
PALM HARBOR HOMES SF
1261 US HWY 70 0.7ACRES
NEWTON NC 28658
828-466-2300
Site Address: 2283 19TH AV NE HICKORY NC
Directions: FROM HWY 70 TURN RT AT STARTOWN RD TOWARD 140/ GO ABOUT 5- 6 MILES/ CROSS SPRINGS RD/ LFT
ON 19TH AVE NE/ GO 1/2 MILE/ HOME ON RT
Site/System Diaaram
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Type of Facility: House X Mobile Home # Bedrooms ~
Business Specify
Other Specif}'
Proposed Additions /Accessory Structures:
Approved ~~ Not Approved
Evidence of system malfunction: YES
EHS
Reason
_ NO ~! System T}pe/Description ~/~' : ~~~
DATE: ~~-2~~~ ~
NOT FOR LOAN APPROVAL
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