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ETHTE #: 15-5-36589 HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD LILLINGTON, NC 27546 Name: Gunter Construction Co. Phone #: 919-353-2283 Address: 5811 Cox Mill Rd. Sanford NC 27332 Name of Mobile Home Park or S/D: Longleaf Acres lot 36 Name of Owner (if different): Carlton Boughton Address of Owner (if different): 144 Oak Top Cir. Lillington, NC 27546 Property Location (State Road name and #): 27 w Purpose of Inspection: deck 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 10111 0 of 0 1 1 1 t.14 W WJ 114 . WE AUTHORIZATION OF EXISTING SYSTEM WAM of Environmental Health Specialist ell! lel-�(r Date