ET RRHTE #: 08- 5- 20755RR
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Triangle Real Estate & Automotive Phone #: 642 -0092
Address: 497 Ramsey Ford Rd Nakina NC 28455
Name of Mobile Home Park or S /D:
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and ft West Rd
Purpose of Inspection: Man Home (14'x66')
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
1 M01 MILMORIVEN
1 1 • f ' • t
AUTHORIZATION OF EXISTING SYSTEM
Signature of Environmental qh Specialist
Im