ETHTE 09-5-23295
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Choo Choo Homes Phone 910-860-8787
Address: 4209 Brae Blvd Fayettvillle NC 28303
Name of Mobile Home Park or S/D: Buffalo Est. lot 10
Name of Owner (if different): Twila Foss
Address of Owner (if different): 218 Twin Ponds Rd Sanfod NC 27332
Property Location (State Road name and Buffalo Lakes Rd
Purpose of Inspection: deck
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
of,Env' nmental
/&Y 0 c
th Specialist