ETHTE #: 15-5-36650
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Kenneth Lockamy Phone #: 910-322-4647
Address: 2950 Strickland Bridge Rd. Fayetteville, NC 28306
Name of Mobile Home Park or S/D:
Name of Owner (if different): Linda Natole
Address of Owner (if different): 854 Foxcroft Dr. Fayetteville, NC 28306
Property Location (State Road name and #): Elliott Bridge and Bethel Baptist Rd
Purpose of Inspection: private club
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
IC 1 i 1
11 1 1.MA 1 6T."IR1 10104
AUTHORIZATION OF EXISTING SYSTEM
of Environmental Health Specialist
Date