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TE# -' HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD - LILLINGTON, NC 27546 EXISTING SEPTIC SYSTEM INSPECTION NAME ' PHONE # / ADDRESS NAME OF MOBILE HOME PARK OR S/D NAME OF OWNER (IFDIFFERENT) ADDRESS OF OWNER (IF DIFFERENT) PROPERTY LOCATION: STATE ROAD NAME AND # St PURPOSE (?'INSPEC2'I ©NttranFi�sif heer e�ra�t acne aun as �eparmen �'4 ,fig "` �:. '� ,?` #' z•t , a ��tonmen�al��t�h��ct��tti� a spEt�tia�ippard ter sepl�c system saving fislt�, rt�i ss�rr siaucmaIitr�ct © ownar is tespransi fog' "++ .. 1..p`y�a,n-flt Y A - . r,, a�; b �'�`'' t^q�'�'° i*'"� .- °' +" Y; ' =, "'-s, $, =s . f , a•:F9 �6 €y., `,fit i `ar -s' P ..� � , mar a" t, 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 changes, and/or (4) after six months BUI DIN -MUST BI FFROM ANY PART OF SEfPTI SYSTEM QO` IQT DRIVE Ofd `PACK ON SEPTIC SYSTEM .< .. Y