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ETHTE 12-5- - HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD LII LINGTON, NC 27546 EXISTING SEPTIC SYSTEM INSPECTION Name: MGM Builders Phone Address: 530 Darroch Rd Bunnlevel NC 28323 Name of Mobile Home Park or S/D: Name of Owner (if different): Hilda Butts Address of Owner (if different): Property Location (State Road name and 1128 Darroch Rd Purpose of Inspection: Garage Addition 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. If the system should malfunction, the owner is responsible for any necessary repairs. THIS INSPECTION IS VOID 1, the intended use of the septic system should change, and/or 2. the system should fail or malfunction, and/or 3. the owner or tenant of the property change, and/or 4. after six months BUILDING UST E 5' FROM ANY T F SEPTIC SYSTEM NOT DRIVE OR A N SEPTIC SYSTEM AUTHORIZATION OF EXISTING SYSTEM Signature of environmental Health cialist ' Date