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HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
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NAME 6,4 N N /ut, A /PHONE #
ADDRESS A44
NAME
NAME OF MOBILE HOME PARK OR S/D A44
NAME OF OWNER (1F DIFFERENT)
ADDRESS OF OWNER (IF DIFFERENT) p2% 576d -<Y /�
PROPERTY LOCATION: STATE ROAD NAaMEE� /AND ##I
PURPOSE OF INSPECTION: �/�^ `�'' � f'
The aforementioned site has been evaluated byte Harnett CounFy Ae th Department
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
TION OF EXISTING SYSTEM
of Environmentatflealth Specialist