ET-- HTE #: 13 -5 -32475
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: J. Brooks Benton Phone #: 919 - 774 -6217
Address: 513 Wicker St. Sanford NC 27330
Name of Mobile Home Park or S /D:
Name of Owner (if different): Edward R. Bain
Address of Owner (if different): 1402 Summerville Mamers Rd. Lillington, NC 27546
Property Location (State Road name and #): Summerville Mamers
Purpose of Inspection: Bathroom addition
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
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AUTHORIZATION OF EXISTING SYSTEM
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of nvironmental Health Specialist Date