ETHTE 10-5-24113
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Jeremy Strickland Phone 890-2160
Address: P.O. Box 1225 Dunn, NC 28335
Name of Mobile Home Park or S/D:
Name of Owner (if different): Stewart Chapel Methodist
Address of Owner (if different): 277 Stewart Rd. Dunn NC 28335
Property Location (State Road name and SR 1810 Stewart Rd
Purpose of Inspection: Carport (pad already built 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
Signature o
Mf
.tal Health Specialist
1~2- `C)
Date