ET RRTE 09-5-22243RR
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEAL
307 CORNELIUS HARNETT BOULEVARD
LII LINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Ram Development Phone 323-4301
Address: PO BOx 53688
Name of Mobile Home Park or S/D: Carolina Oaks lot 58
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and Will Lucas Rd
Purpose of Inspection:
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 LIST 5' FROM ANY T TIC SYSTEM
NOT DRIVE PARK ON SEPTIC SYSTEM
AUTHORIZATION OF EXISTING SYSTEM
,5
Signature of Environmental th Specialist
Date