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ETHTE #: 16-5-39591 HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD LILLINGTON, NC 27546 EXISTING SEPTIC SYSTEM INSPECTION Name: Moss Homebuilders Phone #: 890-2103 Address: PO Box 577 Lillington NC 27546 Name of Mobile Home Park or S/D: Manor Hills Name of Owner (if different): Deloris Suggs Address of Owner (if different): 160 Dees St Lillington NC 27546 Property Location (State Road name and #): 160 Dees St Purpose of Inspection: Det. Gar. (24'x32') 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 BUILDING MUST BE 5' FROM ANY PART OF SEPTIC SYSTEM DO NOT DRIVE OR PARK ON SEPTIC SYSTEM AUTHORIZATION OF EXISTING SYSTEM Signature of ENironmental 1We`Xa Specialist