ETHTE #: 17-5-41416
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Jeremy & Bethany Taylor Phone #: 919-796-5589
Address: 216 Clarks Comer Rd. (Hwy 42)
Name of Mobile Home Park or S/D: NA
Name of Owner (if different): Same
Address of Owner (if different): Same
Property Location (State Road name and #): Same
Purpose of Inspection: Existing Tank - 30'x50' Accessory Storage Barn
Note: Sentic tank is recomminded to be frequently pumped
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