ETHTE #: 18-5-43895
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Southeastern Construction of Buies Creek Phone #: 919.282.2443
Address: P.O. Box 157 Buies Creek, NC 27506
Name of Mobile Home Park or S/D: Benton Place Lot 16
Name of Owner (if different): Abonza Luis Fernando Rosales
Address of Owner (if different): 270 Benton Place Drive Angier, NC 27501
Property Location (State Road name and #): Lipscomb Road (SR 1504)
Purpose of Inspection: Addition - Attached Garage (24'x26'). No additional bedrooms Proposed
addition not within septic field septic setbacks or repair area
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 Environmental Health Specialist Date