ETHTE #: 12 -5 -30314
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Steve Thomas Phone #: 919- 906 -4069
Address: PO Box 875 Broadway, NC 27505
Name of Mobile Home Park or S /D: Michael Newton lot 1
Name of Owner (if different): Michael Newton
Address of Owner (if different): 7295 South River Rd.
Property Location (State Road name and #): South River
Purpose of Inspection: new 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
1� 1. 11 W, . 1,
AUTHORIZATION OF EXISTING SYSTEM
of tmAronmental Health Specialist