ETHTE #: 13 -5 -30966
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Wester Const. Co. Phone #: 919 - 499 -3946
Address: 614 Leslie Rd. Sanford NC 27332
Name of Mobile Home Park or S /D:
Name of Owner (if different): William Edwards
Address of Owner (if different): P.O. Box 171 Olivia NC 28368
Property Location (State Road name and #): Olivia
Purpose of Inspection: dining room and bath
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
1i i 1' `i' '•'' '
AUTHORIZATION OF EXISTING SYSTEM
Signature of Environmental Health Specialist
Date