ETHTE #: 14 -5 -34846
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
Name: Barbara Smith Phone #: 919 - 258 -3323
Address: 79 T & S Lane Broadway, NC 27505
Name of Mobile Home Park or S /D:
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): Cool Springs
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
1 _ 1
1101101010 11 1114 MA ILI) ta W-111 1114 MAXIC11 MW
AUTHORIZATION OF EXISTING SYSTEM
Q
ignature of Environmental Health Specialist
A