ETHTE #: 18-5-43448
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Neil & Tara Colville Phone #: 919.274.0213
Address: 700 Tilghman Road Coats, NC 27521
Name of Mobile Home Park or S/D:
Name of Owner (if different): Same
Address of Owner (if different): Same
Property Location (State Road name and #): Tighman Road (SR 1704)
Purpose of Inspection: Attached Garage (37'x15') w/ Breezeway (10'x4.8')
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: ups
1. the intended use of the septic system should change, and/or �p
2. the system should fail or malfunction, and/or p� �6��'
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
6-3/.7
Signature of Environmental Health Specialist Date