ETHTE #: 14 -5 -34258
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: DGC Home Improvements Phone #: 919- 215 -5927
Address: 21 Scooter Ln Cameron NC 28326
Name of Mobile Home Park or S /D: OH Mangum Est lot 23
Name of Owner (if different): Wesley Carouthers
Address of Owner (if different): 8 Buford Ln Cameron NC 28326
Property Location (State Road name and #): Bufferd Ln
Purpose of Inspection: Attached Garage (28'x30')
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
1
1 1 L
.1 ' 0 '
1 0 1
1 AN I
AUTHORIZATION OF EXISTING SYSTEM
2IsI)
Signature of nvironmenta lth Specialist