ETHTE #: 18-5-43902
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Clayton Homes Of Sanford Phone #: 336-460-0329
Address: 1921 Keller Andrew Rd Sanford NC 27237
Name of Mobile Home Park or S/D:
Name of Owner (if different): Walter Farnham
Address of Owner (if different): 26 Ridgegord Ln Broadway NC 27505
Property Location (State Road name and #):
Purpose of Inspection: Man Home (28'x76')
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
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Signature of Env-lfLnmental HeekSpecialist