ETHTE #: 13 -5 -32112
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Home Brands Phone #: 603 - 868 -1300 Ext 4324
Address: 755 Banfield Rd Portsmouth NH 03810
Name of Mobile Home Park or S /D: David Tabor S/D lot 1
Name of Owner (if different): Veronica Yanes
Address of Owner (if different): 26 Mannsfield Ln Broadway NC 27505
Property Location (State Road name and #): Mannsfiled Rd
Purpose of Inspection: Storage (12'x20')
KEEP ALL BUILDING ANCHORS OUT OF DRAINLINES. PROBE LINES TO VERIFY
DRAIN LINE LOCATION!
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
11 1'N MA DKII ' °' O,
UTHORIZATION OF EXISTING SYSTEM
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Signature of Environmenta Health Sp h