ETHTE 10-5-23694
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Professional Home Care Inc Phone 919-818-2582
Address: PO Box 129 Lillington, NC 27546
Name of Mobile Home Park or S/D:
Name of Owner (if different): Joshua &Katie Smith
Address of Owner (if different): 219 Brae Dr Lillington. NC 27546
Property Location (State Road name and Brae Dr
Purpose of Inspection: Garage 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
Signature of
AUTHORIZATION OF EXISTING SYSTEM
Specialist
!1O
Date