ETHTE #: 15-5-36828
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
Name: Rising Sun Pools Phone #: 919-851-9700
Address: 5608 Hillsborough St Raleigh NC 27606
Name of Mobile Home Park or S/D:
Name of Owner (if different): Thomas & Phyllis Still
Address of Owner (if different): 2166 Thompspn Rd Bunnlevel NC 28323
Property Location (State Road name and #): Thompson Rd
Purpose of Inspection: Ingound Pool & Patio
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
1111101110 11 IN MA DKOI Oka '•10141
AUTHORIZATION OF EXISTING SYSTEM
0
Signature of Environme 1 Health Specialist date