ETHTE 10-5-23731
Name: Abraham Fuentes Pliego Phone 919-796-8996
Address: 1945 Pickard Rd Sanford NC 27332
Name of Mobile Home Park or S/D: KBorr Hills PH 4 lot 23
Name of Owner (if different): Michael Barbour
Address of Owner (if different):
Property Location (State Road name and 1320 Milton Wellch
Purpose of Inspection: Replace 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
BUILDING MUST BE 5' FROM ANY PART OF SEPTIC SYSTEM
DO NOT DRIVE OR PARK ON SEPTIC SYSTEM
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLiNGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
AUTHORIZATION OF EXISTING SYSTEM
Date
c~ ,2 c/0
of
Health Specialist