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ETHTE #: 13 -5 -32399 HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD LILLINGTON, NC 27546 Name: S &D Builders Phone #: 843 - 457 -1299 Address: 4020 New Hope Ch Rd Asheboro NC 27205 Name of Mobile Home Park or S /D: BH Morgan Name of Owner (if different): Charles Cooley Address of Owner (if different): 327 NC27 Cameron NC 28326 Property Location (State Road name and #): NC24 Purpose of Inspection: Detached Garage (24'x28') 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 I M AUTHORIZATION OF EXISTING SYSTEM WIN Signature of En iv ronmental Heath Specialist ' 'Date