ETHTE #: 13 -5 -32103
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
10.14 0 9 NOW Of W ,
Name: Josh Whitford Phone #: 583 -8155
Address: 193 Will Lucas Rd Linden NC 28356
Name of Mobile Home Park or S /D:
Name of Owner (if different): Jennie Maness
Address of Owner (if different): 247 Will Lucas Rd Linden NC 28356
Property Location (State Road name and #): Will Lucas Rd
Purpose of Inspection: Mod 28'x56')
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
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1111011110 UI 101 IN WAR IN W,
TION OF EXISTING SYSTEM
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