ETHTE #: 17-5-42284
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Jon Stewart Phone #: 919-795-7009
Address: 219 Whit Ct, Angier, NC 27501
Name of Mobile Home Park or S/D:
Name of Owner (if different): Judy & Curtis Adams
Address of Owner (if different): 4892 NC 55 W. Angier NC 27501
Property Location (State Road name and #): 4892 NC 55 W.
Purpose of Inspection: Addition - Sunroom (41'4"x 18'8"). No bathroom No bedrooms
Proposed addition not within septic field repair area or septic setbacks
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