ET RHTE #: 17-5-42444R
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Champion Windows Phone #: 919.468.5217
Address: 300 Dominion Drive Ste. 201 Moorisville, NC 27560
Name of Mobile Home Park or S/D: Oxford Woods Lot 41
Name of Owner (if different): Brenda Burdge
Address of Owner (if different): 98 Oxford Woods Drive Angier NC 27501
Property Location (State Road name and #): 98 Oxford Woods Dr. (Old Stage Rd N SR 1006)
Purpose of Inspection: Addition - Deck Expansion (18'x 12') with Screen/Covered No
bathroom. No bedrooms Proposed addition 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
Signature of Environmental Health Specialist Date