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ETHTE #: 14 -5 -33057 HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD LILLINGTON, NC 27546 Name: Parrot Bay Pools Phone #: 429 -0086 Address: 3011 Town Center Dr Suite 130 Fayetteville, NC 28306 Name of Mobile Home Park or S /D: Donna Pope lot 3 Name of Owner (if different): Amy & Ashley Brown Address of Owner (if different): 111 McLovin Ln Broadway NC Property Location (State Road name and #): MCLovin Rd Purpose of Inspection: Inground Pool 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 1 1111011110 1 • W Mull ', Val N-030 ORIZATION OF EXISTING SYSTEM Signature of BE