ETHTE #: 15-5-36909
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
Name: Krystal Paradise & Robert Mikellski Phone #:
Address: 3050 Thompson Rd Bunnlevel NC 28323
Name of Mobile Home Park or S/D: Sean Benson
Name of Owner (if different): Tammy Benson
Address of Owner (if different): 26 Riverwond Dr Spring Lake NC 28323
Property Location (State Road name and #): Thompson Rd
Purpose of Inspection: Man Home (14'x80')
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
1� 1 1I W. W, . O
AUTHORIZATION OF EXISTING SYSTEM
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Signature o Environmenta ealth Specialist
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