ETHTE #: 15-5-36230
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
Name: Maruerite Strand Phone #: 910-584-5025
Address: P.O. Box 2630 Lillington, NC 27546
Name of Mobile Home Park or S/D:
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): Bethel Baptist
Purpose of Inspection: lean to's attached to existing barn
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 C ', ''
11 4 /' 1'' M 1
AUTHORIZATION OF EXISTING SYSTEM
of vironmental Health Specialist
WAWA
Date