ETHTE #: 17-5-41716
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Jeff Speight Phone #: 919-669-8832
Address: 217 High Land Dr. Angier NC 27501
Name of Mobile Home Park or S/D:
Name of Owner (if different): Thurman Tart
Address of Owner (if different): 82 Oak Valley Farm Rd. Coats NC 27521
Property Location (State Road name and #): 82 Oak Valley Farm Rd (SR 19 10)
Purpose of Inspection: Addition - Screen Porch (201x201)
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
6
Signature of Environmental Health Specialist na+P