ET RHTE #: 18-5-44299R
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Pineywoods Construction Phone #: 910.585.2144
Address: 180 Bronwyn Street Southern Pines, NC 28387
Name of Mobile Home Park or S/D: NA
Name of Owner (if different): John & Melissa Bullinger
Address of Owner (if different): 240 Needmore Road Cameron, NC 28326
Property Location (State Road name and #): 240 Needmore Road (SR 1101)
Purpose of Inspection: Accessory Detached Garage/Farm Bldg (36'x40'). No bathroom. No
bedrooms. Proposed buildings not within septic field, repair area, or septic setbacks. Future
bathrooms shall include permit to pump to existing system or permit for new system.
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
Date