ETHTE #: 15-5-36098
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: David Perschbacher Phone #: 892-5524
Address: 7146 Monarch Dr Linden NC 28356
Name of Mobile Home Park or S/D: Upper Little River lot 5
Name of Owner (if different): Laird Poff
Address of Owner (if different): 2567 Norringtini Rd Lillington NC 28746
Property Location (State Road name and #): Norrington Rd
Purpose of Inspection: Detached Garage (24'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
1 111 W Ste]' WIN N 9D1 '
AUTHORIZATION OF EXISTING SYSTEM
QG-� s 9
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Signature of vironmental lth Specialist r Date