ETHARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
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THIS INSPECTION IS VOID IF:
(1) the intended use of the septic system should change, and/or
(Z) the system should fail or malfunction, and/or
(3) the owner or tenant of the property changes, and/or
(4) after six months
IJIL IN r 'UST E S� FIB II ANY" A!tT,' SEPTIC SYSTEI
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E OIL AI Q( EI SISTEI
AUTHORIZATION OF EXISTING SYSTEM
i ture of Environmental flealth Specialist Date