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ETHTE #: 13 -5 -31170 HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD LILLINGTON, NC 27546 Name: T.J. McLamb Phone #: 910- 257 -5080 Address: 1145 Creekview Ln. Linden NC 28356 Name of Mobile Home Park or S /D: Name of Owner (if different): Address of Owner (if different): Property Location (State Road name and #): Raynor McLamb Purpose of Inspection: replace home 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 1IR MA M01 W, AUTHORIZATION OF EXISTING SYSTEM C/ , of nviromnental Health Specialist.