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HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
NAME e Al'n q= 1. )f, 041, r.4 &I PHONE # `j)Q- 720- 4546
ADDRESS '7/ �QItES: ;x . 0, a.. > A e,? &.. J A1/4 2_3 d to
NAME OF MOBILE HOME PARK OR S/D ni ;.,e
NAME OF OWNER (IF DIFFERENT) Sa.r>--e-
ADDRESS OF OWNER (IF DIFFERENT) 5e P'--e—
PROPERTY
PROPERTY LOCATION: STATE ROAD NAME AND # C�7r� /-n �r 1�e� to SkRSc�P� �J.
PURPOSE OF INSPECTION:
The aforementioned site has been evaluated by the Harnett C-o-u-nTy-WealthDepartment
Environmental Health Section. At the time of inspection, there appeared to be a septic
system serving this site. If this 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 changes, and/or
(4) after six months
BUILDING MUST BE 5' FROM ANY PART OF SEPTIC SYSTEM
DO NOT DRIVE OR PARK ON SEPTIC SYSTEM
AUTHORIZATION OF EXISTING SYSTEM
of EnviroiimekitaMealth Specialist