Fillable ENVIRONMENTAL HEALTH (Catawba County NC)

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ENVIRONMENTAL HEALTH (Catawba County NC)

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The ENVIRONMENTAL HEALTH (Catawba County NC) form is 1 page long and contains:

  • 1 signature
  • 7 check-boxes
  • 30 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Catawba County NC

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Case # _______________
Property Location _________________________________________________________________
Street Address _____________________________________________________________
City ______________________________ State: NC ZIP __________
Business Name _______________________________________________________________
E-mail Address: __________________________________
Business Street Address _________________________________________________________
City ______________________________ State: NC ZIP __________
Phone ______________________________
Operator Name _____________________________________________________________
E-mail Address: __________________________________
Operator Address _____________________________________________________________
City ______________________________ State: NC ZIP __________
Phone ______________________________
Architect Name (if applicable) ____________________________________________________
E-mail Address: __________________________________
Architect Address _____________________________________________________________
City ______________________________ State: NC ZIP __________
Phone ______________________________
Contractor (if applicable) ______________________________________________________
E-mail Address: __________________________________
Contractor Address ____________________________________________________________
City ______________________________ State: NC ZIP __________
Phone ______________________________
Water Supply Type
Sewer Supply Type
Individual Well
In
dividual Septic
Community W
ell
Public Sewer
Public Water
Unknown
All a
pplicable information must be provided prior to submission. Contact Environmental
Health for applicable fees.
Applicant Signature ______________________________
Date________________
ENVIRONMENTAL HEALTH
Catawba County Government Center
25 Government Drive | P.O. Box 389 | Newton, NC 28658
Phone: (828) 465-8270 | Fax: (828) 465-8276
Email: EHAdministrativeAssistants@CatawbaCountyNC.gov
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ENVIRONMENTAL HEALTH (Catawba County NC)

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Completed 17 December 2021

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