ETHTE #: 13 -5 -32136
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
Name: Johnathon Byrd Phone #: 910- 890 -1452
Address: 2880 McDougald Rd Lillington NC 27546
Name of Mobile Home Park or S /D:
Name of Owner (if different): Johnny 3Td
Address of Owner (if different): 25767 South Village Dr South Riding VA 20152
Property Location (State Road name and #): Peach Farm Rd
Purpose of Inspection: Man Home Replacement (14'x70')
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
AUTHORIZATION OF EXISTING SYSTEM
Signature of Environmenta th Specialist