ETHTE 09-5-21722
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Joe Parda Phone 984-6079
Address: 40 Jimmy Drive Bunnlevel, NC 28323
Name of Mobile Home Park or S/D:
Name of Owner (if different): Victory Freewill
Address of Owner (if different): 30 Joint Rd Sprin ake, NC
Property Location (State Road name and Joint Rd
Purpose of Inspection: Handicapped Ramp to Front Door
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 MUST BE 5' FROM ANY PART OF SEPTIC SYSTEM
DO NOT DRIVE OR PARK ON SEPTIC SYSTEM
RIZATION OF EXISTING SYSTEM
q-5
1L
Signature of Environmental Health Speciali