ETHTE #: 13 -5 -32128
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Hamilton Builders Phone #: 890 -0973
Address: 286 Pine St Lillington NC 27546
Name of Mobile Home Park or S /D:
Name of Owner (if different): Roscoe Frizzelle
Address of Owner (if different): 1700 MicroTower Rd Barbecue NC 27546
Property Location (State Road name and #): Micro Tower Rd
Purpose of Inspection: 2 bedroom SFD (48'x60')
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
I� ). i,
AUTHORIZATION OF EXISTING SYSTEM
Signature of Environmental
ate