ETHTE #: 14-5-34990
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Diana McDougaId Phone #: 919-770-0022
Address: 85 Sumac Street Sanford, NC 27332
Name of Mobile Home Park or S/D:
Name of Owner (if different): Lorraine Currie
Address of Owner (if different): 16 Pintail Drive Lillington, NC 27546
Property Location (State Road name and #): old us 421
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 t
IMA LVIA Mu1 AN 1"A W1109-611'
AUTHORIZATION OF EXISTING SYSTEM
of Environme tal Health Specialist Date