ETHTE #: 17-5-42751
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Arthur & Bonnie Creeley Phone #: 607-205-0759
Address: 94 Donnibrook Run Fuouay-Varina, NC 27526
Name of Mobile Home Park or S/D: Donnibrook Pines Lot 22
Name of Owner (if different): Same
Address of Owner (if different): Same
Property Location (State Road name and #): Donnibrook Run (US 401 N.)
Purpose of Inspection: Accessory Detached Boat/RV Pole Barn (20'x24'). No bathroom No
bedrooms. Proposed building not within septic field repair area or septic setbacks Left property
line rear access to lot not over septic area.
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
Signature of Environmental Health SpecialistDa et