ETHTE 12-5-29249
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CO L S HARNETT BOULEVARD
I, I, G ON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: James evoy Phone 814-9899
Address: 468 Dean Rd L illingio NC 27546
The aforementioned site as been evaluated by the Harnett County Health Department
Environmental Health ec ion® At the time o inspection, ere appeared to be a septic
system serving is site. If the system should malfunction, the owner is responsible fora any
necessary repairs.
THIS INSPECTION IS VOID IEF:
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 E T SYSTEM
Signature of Environmental th
:1
Specialist
ate