ETHTE #: 13 -5 -31422
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: James F. Little Phone #: 910- 627 -7934
Address: 216 Ivey St. Spring Lake, NC 28390
Name of Mobile Home Park or S /D: Anderson Creek lot 12
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): Overhills
Purpose of Inspection: new 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 51 FROM ANY PART OF SEPTIC SYSTEM
DO NOT DRIVE OR PARK ON SEPTIC SYSTEM
AUTHORIZATION OF EXISTING SYSTEM
rya cam-- C °� a
o vironmental Health Specialist