ETHTE #: 15-5-37708
HARNETT COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH
307 CORNELIUS HARNETT BOULEVARD
LILLINGTON, NC 27546
EXISTING SEPTIC SYSTEM INSPECTION
Name: Shirley Wheeler
Phone #: 919-552-5529
Address: 13066 NC42 Holly Springs NC 27540
Name of Mobile Home Park or S/D: Shirley Wheeler lot 1
Name of Owner (if different):
Address of Owner (if different):
Property Location (State Road name and #): NC42W
Purpose of Inspection: Hair Salon
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
BUILDING MUST BE 5' FROM ANY PART OF SEPTIC SYSTEM
DO NOT DRIVE OR PARK ON SEPTIC SYSTEM
�\\� AUTHORIZATION OF EXISTING SYSTEM
QG1�S
Signature of Environmental Healt ecialist