ET RHTE #: 14- 5- 33468R
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Zachary & Jamee Gronau Phone #: 402 - 990 -4725
Address: 77 Fernwood PI Lillington NC 27546
Name of Mobile Home Park or S /D: Oakmont lot 12
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): Docs Rd SRI 116
Purpose of Inspection: Storage Building (14'x24')
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; 1 1
11 / lR LIN Im !' R."I 19R W1313.3
UTHORIZATION OF EXISTING SYSTEM
Signature of Environmental