ETHTE #: 13 -5 -31387
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
Name: Christopher & Ayuni VanWinkle Phone #: 253- 948 -6521
Address: 2224 Joel Johnson Rd Lillington NC 27546
Name of Mobile Home Park or S /D:
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): Joel Johnson Rd
Purpose of Inspection: Inground Pool (26'x39')
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
"A W QW10,94 1
AUTHORIZATION OF EXISTING SYSTEM
Signature of Environmental H pecialist