ETHTE #: 15-5-35762
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Vander Built Homes of NC Phone #: 308-5933
Address: 7450 Hwy87S Fayetteville, NC 28306
Name of Mobile Home Park or S/D: Farm at Five Ponds
Name of Owner (if different): Tom Kuntz
Address of Owner (if different): 244 Cherry Ln Sanford, NC 27322
Property Location (State Road name and #): 244 Cherry Ln
Purpose of Inspection: Sunroom (13'x9')
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
C 1 •NUT NOWAM, music
AUTHORIZATION OF EXISTING SYSTEM
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Signature"' f Environme'��I�IIealth Specialist D