ET RHTE #: 14- 5- 339228
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: K.RB Home Builders Phone #: 486 -6610
Address: 6400 Em Dr Hope Mills NC 28348
Name of Mobile Home Park or S /D: Richmond Park lot 98
Name of Owner (if different): Earl Carter
Address of Owner (if different): 846 S Cliffs Circle Apt 101 Spring Lake NC 28390
Property Location (State Road name and #): Prestige Dr
Purpose of Inspection: SFD (53'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
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AUTHORIZATION OF EXISTING SYSTEM
Signature of Environme`' , h Specialist