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HTE#0Z s -i~"1~14,~- HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD LILLINGTON, NC 27546 EXISTING SEPTIC SYSTEM INSPECTION NAME C w n ~5 o P~c~L S ~2aw 2~ ~ N PHONE # S6 ADDRESS ~(b(Z) PAN© -K ~ oL 21) NL&v(:- t_ NAME OF MOBILE HOME PARK OR S/D NAME OF OWNER (IFDIFFEREN7) _ ADDRESS OF OWNER (IFDIFFEREN7) PROPERTY LOCATION: STATE ROAD NAME AND # _~a~ ~2so N Cp ~6 c Sc,L 00" t-~) 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 this system should malfunction, the owner is responsible fo any necessary repairs. for 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 changes, and/or (4) after six months BUILDING MUST BE T FROM ANY PART OF SEPTIC SYSTEM DO NOT DRIVE OR PARK ON SEPTIC SYSTEM - Signature of Environmental ORIZATION OF EXISTING SYSTEM Q5 In pecialist