ETHTE #: 18-5-42687
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: J&M GSO FV, LLC Phone #: 919.577.0746
Address: 4792 Rawls Church Rd. Fuauav-Varina NC 27526
Name of Mobile Home Park or S/D: NA
Name of Owner (if different): Same
Address of Owner (if different): Same
Property Location (State Road name and #): 4792 Rawls Church Rd. (SR 1415)
Purpose of Inspection: Addition - Warehouse Storage (40'x125')Proposed addition not within
septic area. Front septic w/ sanitary tee intact not within vacinity of addition
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
aisuaituc ur nnvironmemai neaun �ipecianst Date