ETHTE #: 14 -5 -32735
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
Name: Charles McLeod Phone #: 919- 928 -2921
Address: P.O. Box 82 Sanford NC 27331
Name of Mobile Home Park or S /D: Hunters Pointe lot 6B
Name of Owner (if different): Clyde Patterson
Address of Owner (if different):
Property Location (State Road name and #): McNeil
Purpose of Inspection: replace home
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
11 1' i A- i
AUTHORIZATION OF EXISTING SYSTEM
l�
of F4Kironmental Health Specialist Date