ETHTE #: 16-5--39952
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Skip Dickens Phone #: 824-4470
Address: 142 Shenston Blvd Garner NC
Name of Mobile Home Park or S/D:
Name of Owner (if different): White, Stephen & Amy
Address of Owner (if different): 15 Dover Ct East Sanford NC 27332
Property Location (State Road name and #): 218 Tin eng_Rd_
Purpose of Inspection: SFD (58'x49')
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
11
Signature of environmental Hi Specialist