ET RHTE, 12-5-29479R/12-5-29480
HARNETT COUNTY DEPARTMENT
ENVIRONMENTAL HEALTH
307 CG LIUS HARNETT BOULEVARD
L L GT , NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Michael Jones Phone
Address: 41 Grnbrook Trail Lillin on C 27546
Name of Mobile Home Park or S : Longleaf Acres
Name of Owner (if different): lavton omes
Address of Owner (if different): 5000 Qavton R Maryville TN,37804
Property Location (State o name and NC27
Purpose of Inspection: o Lome (34'x76') Above Ground Pool
The aforementioned site as 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. the system should malfunction, the owner is responsible or a
necessary repairs.
BUILDING MUST BE 51 FROM ANY PART OF SEPTIC SYSTEM
DO NOT DRIVE OR PARK ON SEPTIC SYSTEM
AUTHORIZATION EXISTING SYSTEM
Signature of Environmental alt Specialist