ETHTE #: 15-5-36671
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
1111i 11 ii Rill
Name: Korte, Bradley Phone #: 520-777-6074
Address: 13595 S Sundown Ranch Rd Vail AZ 85641
Name of Mobile Horne Park or S/D: Yorkshire Plantation lot 9
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): Yorksire Dr
Purpose of Inspection: 4t' Bedroom
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
E.
Signature of Environmental Health�li