ETHTE #: 18-5-43160
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Tarheel Restoration Inc Phone #: 919.796.6472
Address: 3419 Pea Ridge Road New Hill, NC 27562
Name of Mobile Home Park or S/D:
Name of Owner (if different): Jon & Lynn Kerin
Address of Owner (if different): 231 Shady Brook Lane Fuquay-Varina. NC 27526
Property Location (State Road name and #): Lafayette Road (SR 1443)
Purpose of Inspection: Swimming Pool Accessory Building (24'x24') - No bathroom. No
bedrooms Proposed building 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
6113
Signature of Environmental Health Specialist