ETHTE #: 13 -5 -32641
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
Name: Lyon Builders Phone #: 919- 353 -0370
Address: PO Box 569 Olivia NC 28368
Name of Mobile Home Park or S /D:
Name of Owner (if different): Mark Lyon
Address of Owner (if different): 89 Gallery Dr 202 Slicing Lake NC
Property Location (State Road name and #): Olivia Rd (1205)
Purpose of Inspection: SFD (60'x40')
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
1001 'M W&A 'WAIME-1 DOW NEW
AUTHORIZATION OF EXISTING SYSTEM
Signature of Environmental Heath S,peciali