ETHTE #: 12 -5 -29646
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Clanton Homes Phone #: 910 - 424 -8602
Address: 3341 Allespin St. FUettville, NC 28326
Name of Mobile Home Park or S /D: Longleaf lot 45
Name of Owner (if different): James Davis
Address of Owner (if different): 405 Pittman Rd
Property Location (State Road name and #): 27 w
Purpose of Inspection: replace home
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
11 MA DKII 1114 6TI-11 I" NOW" D1 W I
AUTHORIZATION OF EXISTING SYSTEM
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of Environmental Health Specialist
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Date