ETHTE #: 15-35839
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Parrot Bad Phone #: 910-429-0086
Address: 3011 Town Center Dr. Suite 130 Fayetteville, NC 28306
Name of Mobile Home Park or S/D:
Name of Owner (if different): Patsy Sulcer
Address of Owner (if different): 1138 Hwy 24 Cameron, NC 28326
Property Location (State Road name and #): 24
Purpose of Inspection: aboveground pool
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
ignature of Environmental Health Specialist
t"h() 12, G"l
Date