ETHTE #: 15-5-36643
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
1111` fIii
Name: Allan Coole Phone #:
Address:
Name of Mobile Home Park or S/D:
Name of Owner (if different): William McKinley
Address of Owner (if different): 659 Collins Rd Lillington NC 27546
Property Location (State Road name and #): 1259 Collins Rd
Purpose of Inspection: Garage (24'x38')
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
BUILDINGRO
DO NOT DRIVE OR PARK '
Signature of
AUTHORIZATION OF EXISTING SYSTEM
Specialist
Date