ETHTE #: 14 -5 -33225
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Barbara M. McIver Phone #: 910- 624 -4213
Address: 1418 Moores Chapel Rd. Lillington, NC 27546
Name of Mobile Home Park or S /D: Spring Hill lot 7
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): Moores Chapel
Purpose of Inspection: storage building
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
0- 1 1' WJ ta 6VA IR W131=11 '
AUTHORIZATION OF EXISTING SYSTEM
of tAvironmental Health Specialist
20 / 5
Date