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HTE #: 14 -5 -33045
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Alpha Custom Exteriors Phone #: 919- 366 -6444
Address: 7265 Hunt Valley Tr. Wendell NC 27591
Name of Mobile Home Park or S /D: Mamie Bell Ridge
Name of Owner (if different): Michael & Natalee Potter
Address of Owner (if different): 259 Bella Howington Dr Lillington NC 27591
Property Location (State Road name and ft Old US 421
Purpose of Inspection: Screen Porch (20'x20')
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
Signature of Environmental H'441q, Specialist ID