ETHTE #: 15-5-35678
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Victor Kubit Phone #: 322-7755
Address: 17 Clearwater Point Sanford NC 27332
Name of Mobile Home Park or S/D: Radford Heights lot 101
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): 1205 Sheriff Watson Rd
Purpose of Inspection: Garage (50'x60')
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 E I 1ElE,• I,
AUTHORIZATION OF EXISTING SYSTEM
Signature of Environment"a*#li Specialist ate