ETHTE #: 13 -5 -31165
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: David & Carolyn Comfort Phone #:
Address: 5608 Cool Springs Rd Broadway NC 27505
Name of Mobile Home Park or S /D:
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and ft 1265 Cool Springs Rd
Purpose of Inspection: Garage (30'x48')
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
ZEN IIA M131210
AUTHORIZATION OF EXISTING SYSTEM
5
Signature of Environmental ealth Specialist,