ETHTE #: 14 -5 -33436
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Cool Pools NC LLC Phone #:
Address: 2300 Old US Hwy pex NC 27502
Name of Mobile Home Park or S /D: Little River Plantation lot 107
Name of Owner (if different): Teresa Sloss
Address of Owner (if different): 391 Mount Vista Lillington NC 27546
Property Location (State Road name and ft Darroch Rd
Purpose of Inspection: Inground Pool (14'x31')
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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110jL11j W 13 IN LTA W03 ,' 0,111 1914 M0100 '
UTHORIZATION OF EXISTING SYSTEM
Signature of Environmental HeaA Ve'�list