ET RHTE #: 18-5-4337OR
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Robert Henderson Phone #: 919.728.6586
Address: 145 Jared Drive Fuquav-Varina, NC 27526
Name of Mobile Home Park or S/D: Calvins Place Lot 7
Name of Owner (if different): Allison Matthews
Address of Owner (if different): 145 Jared Drive Fuquav-Varina, NC 27526
Property Location (State Road name and #): Hillard Road (SR 1456)
Purpose of Inspection: Addition - Covered Porch (10'x 251. Covering built on footprint of
existing front porch (10'x25').
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