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ET RHTE #: 15-5-36768R HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD LILLINGTON, NC 27546 Name: Cool Pools Phone #: 919-367-7273 Address: 2300 Old UDS 1 HwyApex, NC 27502 Name of Mobile Home Park or S/D: Peachtree lot 88 Name of Owner (if different): Michael Chuffin Address of Owner (if different): 488 Ribbon Oaks Ct. Sanford NC 27332 Property Location (State Road name and #): Buffalo Lakes Purpose of Inspection: inground pool 20x26 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 �kiffi 1 1' 1 '• . 131 AUTHORIZATION OF EXISTING SYSTEM tal health Specialist Date