ETHTE #: 17-5-41788
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: James Jennings Phone #: 401-570-5382
Address: 1170 St. George Dr. Annapolis, MD 21409
Name of Mobile Home Park or S/D: Atkins Village
Name of Owner (if different): Same
Address of Owner (if different): Same
Property Location (State Road name and #): Atkins Village - Lot 21 - Atkins Road (SR 1448)
Purpose of Inspection: Accessory- Shed (10'x16')
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