ETHTE #: 13 -5 -31019
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Chad Lin eg rfelt Phone #:
Address: 222 West Dove Ridge Ln Spring Lake NC 28390
Name of Mobile Home Park or S /D: Dove Ridge
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): W Dove Ridge Ln
Purpose of Inspection: (30'x40' ) Garage without Living 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
I: 1 : " r 1' 0 .' 1 - I
111 1 1 1 1 OWN
AUTHORIZATION OF EXISTING SYSTEM
Signature of Environmental Health pecialist I D