ETHTE #: 14 -5 -32796
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Christine Williams Phone #: 910- 890 -4099
Address: 184 Rodeo Ln Lillington NC 27546
Name of Mobile Home Park or S /D:
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): McDou alg d Rd
Purpose of Inspection: Attached Storage Building (30'x50')
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
11-1111101, , , � 1
AUTHORIZATION OF EXISTING SYSTEM
a� �-�'-lam?
Signature of vironmental Hea1t ecialist Date