ETHTE 09-5-22902
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Choo Choo Homes Phone 910-818-7731
Address: 4209 Bragg Blvd. Fayetteville, NC 28303
Name of Mobile Home Park or S/D: Buffalo Estates Lot 10
Name of Owner (if different): Twila Foss
Address of Owner (if different): 218 Twin Ponds Rd. Sanford, NC 277332
Property Location (State Road name and Buffalo Lake
Purpose of Inspection: MH Replacement (Home set up and tied down prior to inspection)
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
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Date
Health Specialist