ETHTE #: 14 -5 -33960
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Randy Hutcherson Phone #: 336 -451 -6764
Address: 276 Soapstone Mountain Rd Staley NC 27355
Name of Mobile Home Park or S /D: Highlands g Sherwood lot 49
Name of Owner (if different): John McCrimmon
Address of Owner (if different): 420 Ridge View Rd Johnsonville NC 28326
Property Location (State Road name and #): Rid eg view
Purpose of Inspection: Garage (22'x26')
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
1111101110 " 1114 LVA Wei 6VIA .
AUTHORIZATION OF EXISTING SYSTEM
Signature of Environmental Health Specialist