ETHTE 10-5-25669
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Chris Blackman Phone 919422-3067
Address: 1221 Searcy Dr Willow Springs NC 27526
Name of Mobile Home Park or S/D: Ballard Woods
Name of Owner (if different): Dan Barger
Address of Owner (if different): 25 Ruth Circle Fuquay Varina NC 27592
Property Location (State Road name and Ballard Rd
Purpose of Inspection: Building Placement
Run water line and power line against fence.
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
RIZATION OF EXISTING SYSTEM
Signature of Environmental Health