ETHTE #: 17-5-42590
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Clayton Homes of Raleigh Phone #: 919-422-6668
Address: 1312 Fayetteville Road Raleigh, NC 27603
Name of Mobile Home Park or S/D: Lake Pointe S/D
Name of Owner (if different): Same
Address of Owner (if different): Same
Property Location (State Road name and #): 89 Lakeview Drive Fuquay-Varina, NC 27526
Lake Point S/D Lot 34
Purpose of Inspection: Existing Tank - Addition of 3BR (28'x56') Mod. on location of previous
MH. Extisting Septic Tank and Drainfield not within proposed Mod placement Sanitary Tee
present.
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
A Environmental Health Specialist Date
A C-Q�CL-4..t tJ, 2%;;- S