ET RR - approved for 4 bedroomsHTE #: 06- 5- 16117RR
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Ray Patterson Phone #: 893 -9201
Address: 2861 Norrington Rd Lillington NC 27546
Name of Mobile Home Park or S /D: Wilma Thibodeaux lot I
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): Norrin tog n Rd
Purpose of Inspection: Man Home (28'x72')
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
AUTHORIZATION OF EXISTING SYSTEM
Ed
Signature of Environmental Nalth�Specialist
Elm
MW