ETHTE 11-5-26310
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Brown, Randall & Shahaliegh Phone 436-1331
Address: 316 Cobblestone Dr Spring Lake NC 28390
Name of Mobile Home Park or S/D: Stonecross
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and 1120 Overhills Rd
Purpose of Inspection: Finishing; Basement
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 .
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 UST 5' FROM A T SEPTIC SYSTEM
NOT DRIVE OR PARK N SEPTIC SYSTEM
AUTHORIZATION OF EXISTING SYSTEM
t
Signature of Environmental Hea ecialist Date