ETHTE #: 17-5-42010
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Miguel &Nancy Acosta Phone #: 910-391-7571
Address: 426 Harnett Central Rd. Fuquay-Varina, NC 27526
Name of Mobile Home Park or S/D: Senters Lot 4
Name of Owner (if different): Same
Address of Owner (if different): Same
Property Location (State Road name and #): Central Harnett Road (SR 1403)
Purpose of Inspection: Accessory - Detached Garage (24'x30') - No Bedroom/Bathroom
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