ET RHTE #: 13- 5- 31728R
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: John Foushee Phone #: 919 - 219 -1620
Address: 221 Mallard Rd Sanford NC 27332
Name of Mobile Home Park or S /D: Buffalo Lakes
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): Mallard Rd
Purpose of Inspection: 27'x46' Addition
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
BUILDING t PART OF '
ORIZATION OF EXISTING SYSTEM
Signature of Environmental Health
-51E