ET RRRHTE 07-5-18459RRR
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: James Burr Phone 498-3830
Address: 962 Frank Wicken Rd Sanford, NC 27332
Name of Mobile Home Park or S/D: Knight & Barbour lot 3
Name of Owner (if different): Johnny Knight
Address of Owner (if different): 917 Pickard Rd Sanford, NC 27332
Property Location (State Road name and Ponderosa Rd
Purpose of Inspection: Man Home Placement
The aforementioned site has been evaluated by the Harnett County Health Department
Environmental Health Section. At the time of inspection, there appeared to be a septic
system serving this site. the system should malfunction, the owner is responsible for any
necessary repairs.
BUILDING LIST E 5' FROM A T SEPTIC SYSTEM
NOT DRIVE Pty N SEPTIC SYSTEM
AUTHORIZATION OF EXISTING SYSTEM
I F)
Signature o nvironmental Specialist