ETHTE #: 14 -5 -34306
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Patrick Gallimore Phone #: 910- 690 -1336
Address: 164 Hearings Pl. Carthage, NC 28327
Name of Mobile Home Park or S /D: Noel Hills lot 28
Name of Owner (if different): Humber Tina Espinoza
Address of Owner (if different): 413 Maire St. Sanford, NC 27330
Property Location (State Road name and #): McDougald
Purpose of Inspection: replace home
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
ignature of Environm
LIVA gal
AUTHORIZATION OF EXISTING SYSTEM
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Health Specialist
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Date