ETHTE #: 15-5-35540
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Charles Wickman Phone #: 919-478-4968
Address: 140 Wickman Ln Cameron NC 28326
Name of Mobile Home Park or S/D: Harnett Sands lot 4
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): Wickman Ln
Purpose of Inspection: Det Garage (30'x36')
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 1 . 0 A, INl
AUTHORIZATION OF EXISTING SYSTEM
Signature of Environmal Health Specialist