ETHTE #: 18-5-43335
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Jorge Tipiana Phone #: 919.221.9556
Address: 5509 Trekwood Drive Garner, NC 27524
Name of Mobile Home Park or S/D: Deer Run Lot 15R
Name of Owner (if different): Billy Ward
Address of Owner (if different): 164 Deer Run Ct. Angier, NC 27501
Property Location (State Road name and #): 164 Deer Run Ct. (NC 210 N.
Purpose of Inspection: Addition - Screen in porch (21'x12'): Deck (8'x 81. 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