ET RTE 12-5-29036R
HARNETT COUNTY HEAL DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Heather Lynn Mason Phone 920-8304
Address: 136 Hager Ln Spring Lake NC 28390
Name of Mobile Home Park or S/D:
The aforementioned site has been evaluated byte Harnett County Health Department
Environmental Health Section. At the time o section, there appear 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 ]IF:
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 ' FROM ANY PART OF SEPTIC SYSTEM
NOT DRIVE PARK ON SEPTIC SYSTEM
OF EXISTING SYSTEM
(Lt~~s ~ 1--1 \'L,
Signature of Enviro e 1 Healt Sp ci list Date