ET RHTE #: 12- 5- 29909R
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
Name: Timothy Redwine Phone #: 919 - 498 -4001
Address: 115 Washington Ave. Sanford, NC 27332
Name of Mobile Home Park or S /D: GW McIver lot 1
Name of Owner (if different): Earl Redwine /Vivan Prince
Address of Owner (if different): P.O. Box 321 Olivia NC 28368
Property Location (State Road name and #): Surefire In
Purpose of Inspection: expired permits
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
1 J 0 1 IN M1 W-1 14 WAR 12 MINGO 01 W I INKWIN N 0101
AUTHORIZATION OF EXISTING SYSTEM
P._
m,;--
Signdture of Ennvironmental Health Specialist Date