ETHTE #: 16-5-40255
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Ernest O. Jones, Jr. Phone #: 910-892-1766
Address: Lot 99 Parcel 021528010101 Ideal Lane Dunn, NC 28334
Name of Mobile Home Park or S/D: Ideal Mobile Home Park
Name of Owner (if different): Ernest and Charlette Jones
Address of Owner (if different): 490 Neighbors Rd. Dunn, NC 28334
Property Location (State Road name and #): Ideal Lane (Brinkley Rd (SR 1711)
Purpose of Inspection: New Mobile Home
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 OFF EXISTING SYSTEM
� 1213 -/6
of Environmental Health Specialist Date