ET RHTE #: 15-5-35604R
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Custom Contracting Phone #: 919-770-4883
Address: PO Box 2825 Sanford NC 27338
Name of Mobile Home Park or S/D: Carolina Seasons lot H2
Name of Owner (if different): James & Karla Hancock
Address of Owner (if different): 78 Green Links Dr Cameron NC 28326
Property Location (State Road name and #): Green Links Dr
Purpose of Inspection: Pool & Pool House
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
IIS � 1� � �.• �
AUTHORIZATION OF EXISTING SYSTEM
Signature of Environmental He 1 Specialist
4
Date