ETHTE #: 17-5-42445
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Annie M. Baggett Phone #: 910-694-3097
Address: 41 Howard's Ln. Dunn, NC 28334
Name of Mobile Home Park or S/D: Ridgefield
Name of Owner (if different): Same
Address of Owner (if different): Same
Property Location (State Road name and #): Fairground Road (SR 1705)
Purpose of Inspection: Mobile Home Replacement - 3BR DWMH replacing permitted 3BR
SWMH. No bathroom or bedrooms additons. Proposed re lacement 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
k-1— car/.®����—�s� i o(i 3/
Signature of Environmental Health Specialist Date