ETHTE #: 15-5-36894
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
_CIS I INNIZI-LIL, - - ' /'
Name: Carl & Teresa Warrings Phone #: 893-4038
Address: 1278 Tim Currin Rd Lillington NC 27546
Name of Mobile Home Park or S/D:
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): Tim Currin Rd
Purpose of Inspection: Pool (37'x27')
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
I. 1 a 1
AUTHORIZATION OF EXISTING SYSTEM
Signature of Environme ' Health Specialist