ETHTE #: 17-5-42815
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Heather Ninner Phone #: 574-529-5867
Address: 870 Calvary Church Rd Sanford NC 27332
Name of Mobile Home Park or S/D: Lineber erg lot 7
Name of Owner (if different): Nancy Uthof
Address of Owner (if different): 370 Love Grove Church Rd Sanford NC 27332
Property Location (State Road name and #): 1203 Calvary Church Rd
Purpose of Inspection: 3 Bedroom Mod. (28'x64')
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
Signature
AUTHORIZATION OF EXISTING SYSTEM
Specialist