ETHTE #: 14-5-35117
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Maurice Staton Phone #: 354-9419
Address: PO Box 16 Bunnlevel, NC 28323
Name of Mobile Home Park or S/D:
Name of Owner (if different): John & Doris Finger
Address of Owner (if different): PO Box 334 Bunnlevel, NC 28323
Property Location (State Road name and #): Nutgrass Rd
Purpose of Inspection: Man Home (14'x76')
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
AUTHORIZATION OF EXISTING SYSTEM
Signature of Environment9t*alth Specialist