ETHTE #: 13 -5 -31102
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
1
Name: Tim Kaufinan Phone #: 919 - 291 -2308
Address: 278 Woodfield Ct. Fuduay Varina, NC 27526
Name of Mobile Home Park or S /D: Legacy at Rawls lot 30
Name of Owner (if different): Deborah Besinger
Address of Owner (if different):
Property Location (State Road name and #): Rawls Church Rd
Purpose of Inspection: shed
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
WWWROWWWORE 6"A ' t'
AUTHORIZATION OF EXISTING SYSTEM
ignature of Environmental Health Specialist
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Date