ETHTE #: 14 -5 -34374
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
1
Name: Carolina Builders Inc.
Phone #: 910 - 424 -5505
Address: 3718 Boone Trail Fayetteville, NC 28306
Name of Mobile Home Park or S /D:
Name of Owner (if different): Gordon/Alissa Roberts
Address of Owner (if different): 1844 Horseshoe Bend Rd. Erwin NC 28339
Property Location (State Road name and #): Horseshoe Bend
Purpose of Inspection: carport, breeze way, utility room
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
1i 1 E13 MJ WONA N 1
AUTHORIZATION OF EXISTING SYSTEM
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ignature of Environmental Health Specialist Date