ETHTE #: 14 -5 -34780
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
Name: AKR Builders Phone #: 336- 638 -9489
Address: 3924 Holden Rd. Greensboro NC 27406
Name of Mobile Home Park or S /D: Campbell Creek lot 13/14
Name of Owner (if different): Brian Botello
Address of Owner (if different): 1535 Cool Springs Rd Lillington, NC 27546
Property Location (State Road name and #): Cool Springs
Purpose of Inspection: deck
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
IR MIA DKII Oka ZEN IN FA111M] 01
AUTHORIZATION OF EXISTING SYSTEM
Signature of Envi'ronmental'Health Specialist
221-1
Date