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ETHTE #: 14 -5 -34595 HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD LILLINGTON, NC 27546 Name: Bobby Angela Sharpe Phone #: 919 - 499 -3338 Address: 277 Electric Ln Sanford NC 27332 Name of Mobile Home Park or S /D: Name of Owner (if different): Address of Owner (if different): Property Location (State Road name and #): Hoover Rd Purpose of Inspection: SFD (70'x0') 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 1111101111 n/ I i '" Ally W, ' MIN MN0105 AUTHORIZATION OF EXISTING SYSTEM Signature of Environmen-13A e th Specialist ' D