ETHTE 10-5-24261
HARNETT COUNTY HEALTH DEPARTMENT
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307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Cool Pools Phone 897-7665
Address: 807 Jackson Rd Dunn, NC 28334
Name of Mobile Home Park or S/D:
Name of Owner (if different): Elton Daniel
Address of Owner (if different): 56 Pintail Dr Lillin tg_on. NC 27546
Property Location (State Road name and Pintail Dr
Purpose of Inspection: Pool
The aforementioned site has been evaluated by the Harnett County Health Department
'
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V roamenaaa'Heaa~aa Na.a.~ivu. r c aa11, 4,11"C va ua°aY~.~.aiv1u', aura. ai(: eared 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:
i . tuC iuwildCd 'uSC of file Septic Sy Stcm Sliould 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
BUILDING MUST BE 5' FROM ANY PART OF SEPTIC SYSTEM
DO NOT DRIVE OR PARK ON SEPTIC SYSTEM
TION OF EXISTING SYSTEM
Y/L
Signature of Environmental HealthSpec'1'4ist " kDate