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ET RHTE #: 13-5-3117OR HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD LILLINGTON, NC 27546 EXISTING SEPTIC SYSTEM INSPECTION Name: T.J. McLamb Phone #: 910-257-5080 Address: 1145 Creekview Ln. Linden, NC 28356 Name of Mobile Home Park or S/D: Name of Owner (if different): Address of Owner (if different): Property Location (State Road name and #): Raynor McLamb Rd 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 I. 1 C i '•'R LTJ DKII INA WAR IN PAIRW 1111 Signature of Environmen AUTHORIZATION OF EXISTING SYSTEM f�� Health Specialist j 3 20 Date