ETHTE #: 15-5-36125
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Carolina Builders Inc. Phone #: 910424-5505
Address: 3718 Boone Trail Fayetteville, NC 28306
Name of Mobile Home Park or S/D: Gatewest lot 34
Name of Owner (if different): Joseph Reynolds
Address of Owner (if different): 20 Benelli Ct. Bunnlevel NC 28323
Property Location (State Road name and #): Lemuel Black
Purpose of Inspection: carport
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
AUTHORIZATION OF EXISTING SYSTEM
9
0
of 1~ vironmental Health Specialist Date