ET RHTE# /q f-5-- S1k13 PL
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
NAME A (Wo PHONE #
THIS INSPECTION IS VOID IFt
(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 changes, and/or
(4) after six months
BUILDING MUST BE5� FROM ANY PART !
DONOT AkkON 'SEPTIC SYSTEM,
AUTHORIZATION OF EXISTING SYSTEM
of Environmental Health Specialist
WA..A
go