ETHTE #: 14 -5 -33901
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Justin Tucker Phone #: 850- 225 -0465
Address: 909 Buffalo Lakes Rd Sanford NC 27332
Name of Mobile Home Park or S /D: Lake Crestview lot 10
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): Buffalo Lakes Rd
Purpose of Inspection: Above Ground Pool (18'x33') (No soil to be excavated)
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
1i 1' LTA WDOA '• I'A MIR ►/
AUTHORIZATION OF EXISTING SYSTEM
cfao� >y
Signature of Environmental H��pecialist D