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ET4 __ HTE #: 13 -5 -31199 HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD LILLINGTON, NC 27546 EXISTING SEPTIC SYSTEM INSPECTION Name: Brandon Tygftt Phone #: 704 - 797 -1808 Address: PO Box 1571 Lillington NC 27546 Name of Mobile Home Park or S /D: Royal Pines Estates lot 5 Name of Owner (if different): Michael Turner Address of Owner (if different): PO Box 426 Mamers NC 27552 Property Location (State Road name and #): Royal Pines Lane Purpose of Inspection: Moved House (already in place) 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 • 1 . �, • . 1 I1 201W 1 ' i '• i, AUTHORIZATION OF EXISTING SYSTEM 0 Signature of EnvironmentaPHe ,, Specialist a Oate