ET RHTE #: 18-5-43553R
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Micahel & Laurie Channell Phone #: 919.413.6424
Address: 408 James Norris Road Angier, NC 27501
Name of Mobile Home Park or S/D: McAdams Acres Lot 2
Name of Owner (if different): Same
Address of Owner (if different): Same
Property Location (State Road name and #): 408 James Norris Road (SR 1448)
Purpose of Inspection: Accessory Detached Storage Bld (12'x20'). Proposed building not within
septic field or septic setbacks. Shed may require removal in event of repair.
Above ground unpermitted pool located in permitted gravity septic repair area Pump to repair
may be required and/or above ground pool removed in event of repair.
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
Oql to/;
Signature of Environmental Health Specialist Date