ETHTE #: 15-5-35711
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Sammy McNeill Phone #: 919-770-3839
Address: 302 Smith Dr Broadway NC 27505
Name of Mobile Home Park or S/D:
Name of Owner (if different): Jerry Farmer
Address of Owner (if different): 8645 Cox Mill Rd Sanford NC 27330
Property Location (State Road name and #): Cox Mill Rd
Purpose of Inspection: Attached Garage (28'x24')
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
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my$ i ME, *,
AUTHORIZATION OF EXISTING SYSTEM
Signature of EnvironmentaV*lth Specialist