ETHTE 09-5-22154
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL ]HEALTH
307 CORNELIUS HAR.NETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: rad u in
mms Phone 814-3232
Address: PO Box 145, Sanford NC 27331
Name of Mobile Home Park or S/D:
Name of Owner (if different): SPring Hill UMC
Address of Owner (if different): 1960 Spring Hill Church Rd, Lillington. NC 27546
Property Location (State Road name and Spring Hill Church Rd
Purpose of Inspection: Picnic Shelter Construction
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
AUTHORIZATION OF EXISTING SYSTEM
d)( 11M
Signature of Environmental Health