ETHTE 09-5-21489
HARNETT COUNTY H-;ALTII DEPARTMENT
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307 CORNELIUS HARNETT BOULEVARD
7 F7
EXISTING SEPTIC SYSTEM INSPECTION
Name: Melissa McKoy Phone 910-583-9992
Address_ 209 Duckbill Lane Linden_ NC 28356
Name of Mobile Home Park or SID-
Name of Owner (if different):
Address of Owner (if different):
Propertv Location (State Road name and #1: 2042 Ravnor McLamb Rd_
Purpose of Inspection: Manufactured Home Placement
The aforementioned site has been evaluated by the Harnett Countv Health Department
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system serving this site. If the system should malfunction, the owner is responsible for any
TEAS INSPECTION IS VOID W:
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2_ the system shorald fail or malfunction-, and/or
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4. after six months
BUILDING MUST BE 5' FROM ANY PART OF SEPTIC SYSTEM
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AUTHORIZATION OF EXISTING SYSTEM
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swnawr-e of C,nvironmental t- lealt Specialist Lute