ETHTE #: 15-5-36151
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Pedro Morales Phone #: 919-777 6546
Address: PO Box 4693 Sanford NC 27330
Name of Mobile Home Park or S/D: Oak Ridge Est lot 1-2
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): 23488 NC24-27
Purpose of Inspection: Man Home (14'x77
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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11 / 1. LIN 1 W, 10 1
AUTHORIZATION OF EXISTING SYSTEM
Signature of Environm'e""n'taMe'a"hk Specialist
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Date