ET RRHTE #: 10- 5- 24657RR
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Choo Choo Homes Phone #: 910 - 860 -8787
Address: 4209 Bragg Blvd. Fayetteville, NC 28303
Name of Mobile Horne Park or S /D: Fox Run lot 29
Name of Owner (if different): Falcon Fiance
Address of Owner (if different): 511E Main St Sanford NC27330
Property Location (State Road name and #): Doe's
Purpose of 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
I. 1
11 11 1 AN
AUTHORIZATION OF EXISTING SYSTEM
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Signature of Environmental Health Specialist