ETHTE 12-5-29023
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: F. Bowling Phone 910-578-0613
Address: 5 Blue Devil Rd. Cameron, NC 28326
Name of Mobile Home Park or S/D: Woodshire lot 231
Name of Owner (if different): James D. & Holly Tall
Address of Owner (if different): 144 Sonora Dr. Lillington, NC 27546
Property Location (State Road name and Nursery
Purpose of Inspection: above rg ound pool
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 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 MUST BE 5' FROM ANY PART OF SEPTIC SYSTEM
DO NOT DRIVE OR PARK ON SEPTIC SYSTEM
AUTHORIZATION OF EXISTING SYSTEM
C
ignature of Environmental Health Specialist
Date