ETHTE #: 16-5-40078
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Tony Wimberly Phone #: 919-669-7066
Address: 2563 Oak Grove Church Rd Angier NC 27501
Name of Mobile Home Park or S/D: Tingen Point lot 107
Name of Owner (if different): Barbara Lepage
Address of Owner (if different): 131 Gold Ct Broadway NC 27505
Property Location (State Road name and #): 131 Gold Ct
Purpose of Inspection: Addition (35'x26') No net addition of bedrooms
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 Environmental Hea ecialist