ETHTE #: 14 -5 -33712
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: David Meadows Phone #: 574 -2579
Address: 953 McKimmon Dr Fayetteville NC 28306
Name of Mobile Home Park or S /D:
Name of Owner (if different): Allen Lasater
Address of Owner (if different): 180 Four Corners Ln Broadway
Property Location (State Road name and #): Buie Rd
Purpose of Inspection: 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 I U W OKI] AN W,
AUTHORIZATION OF EXISTING SYSTEM
0ME
Signature of Environmeht#Wealth Specialist