ETHTE #: 14 -5 -33727
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
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Name: Hugh Surles Builders Phone #: 919- 422 -7065
Address: 126 Brandon Dr. Lillington, NC 27546
Name of Mobile Home Park or S /D:
Name of Owner (if different): Roy Byrd
Address of Owner (if different): 19 B3 rds Mill Rd. Bunnlevei, NC 28323
Property Location (State Road name and #): B Eds Mill
Purpose of Inspection: garage w/ guest house
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
RMA 9 V.11
AUTHORIZATION OF EXISTING SYSTEM
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Signature of Environmental Health Specialist
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Date